WALGREEN CO. - NPI 1063268712 - Pharmacy in Elkridge, MD

Q: What is Walgreen Co.'s NPI number?

The NPI number for Walgreen Co. is 1063268712. It was assigned to this organization in the NPPES registry on April 24, 2024. The provider is doing business as Walgreens #17966.

Q: What is Walgreen Co.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co. was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Walgreen Co. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALGREEN CO. (NPI 1063268712), doing business as Walgreens #17966, is a healthcare organization registered as a pharmacy in Elkridge, Maryland and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Virginia Garza, Director - Ar Central, as its authorized official.

NPPES Registry Identity

NPI1063268712

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO.

Location Address7270 MONTGOMERY RDElkridge, MD 21075-5268

Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2364 · Fax (217) 709-2344

Phone(410) 796-3344

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialVirginia GarzaDirector - Ar Central · (217) 709-2364

Enumeration DateApril 24, 2024

NPPES CertifiedApril 24, 2024

✔ NPI 1063268712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

7270 MONTGOMERY RD, Elkridge, MD 21075

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Other Names 1

Doing Business AsWalgreens #17966

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2292844

Walgreens #17966 · Elkridge, MD

Active · expires Oct 30, 2027

CLIA Number21D2292844

Laboratory TypePharmacy

Certificate Effective DateOctober 31, 2025

Certificate Expiration DateOctober 30, 2027

Laboratory DirectorRachana S. Bhalodia

Laboratory Phone(410) 796-3344

Laboratory LocationWalgreens #179667270 Montgomery Rd, Elkridge, MD 21075

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEVIN AYENSU

Pharmacist