WALGREENS #16428
NPI 1073982161
Pharmacy in Chicago, IL

Active since September 18, 2015CLIA 14D2015194 · Waiver
111 S HALSTED ST, STE A, CHICAGO, IL 60661(312) 463-9142 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Walgreens #16428 NPPES

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

WALGREENS #16428 (NPI 1073982161) is a healthcare organization registered as a pharmacy in Chicago, Illinois and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through December 5, 2027 and lists Alan Nielsen, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1073982161
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address111 S HALSTED ST, STE AChicago, IL 60661-3507
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlan NielsenTreasurer · (847) 315-3523
Enumeration DateSeptember 18, 2015
Last NPPES UpdateSeptember 27, 2016
NPI 1073982161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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 ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
111 S HALSTED ST, Chicago, IL 60661

Other Names 1

Doing Business AsWalgreens #16428

Other Identifiers 3

Other054019963IL · Board Of Pharmacy
Other362127039002IL · Ilmed
Other1491113IL · Ncpdp

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 14D2015194

Walgreens 04978 · Chicago, IL
Active · expires Dec 5, 2027
CLIA Number14D2015194
Laboratory TypePharmacy
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorJeremy Moehr
Laboratory Phone(312) 463-9142
Laboratory LocationWalgreens 04978111 S Halsted St, Chicago, IL 60661
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 8

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

Pharmacist
111 S HALSTED ST
CHICAGO, IL 60661
Pharmacist
111 S HALSTED ST
CHICAGO, IL 60661
Pharmacist
111 S HALSTED ST
CHICAGO, IL 60661
Pharmacy Technician
111 S HALSTED ST
CHICAGO, IL 60661
Pharmacist
111 S HALSTED ST
CHICAGO, IL 60661
Pharmacist
111 S HALSTED ST, PHARMACY DEPT
CHICAGO, IL 60661
Pharmacy
111 S HALSTED ST
CHICAGO, IL 60661
Pharmacist
111 S HALSTED ST
CHICAGO, IL 60661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1073982161. It was assigned to this organization in the NPPES registry on September 18, 2015. The provider is doing business as Walgreens #16428.

Where is Walgreen Co located?

Walgreen Co is located at 111 S Halsted St Ste A, Chicago, IL 60661. The listed phone number is (312) 463-9142.

What is Walgreen Co's specialty?

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

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2015194) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on September 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.