WALGREENS
NPI 1083169841
Pharmacy - Community/Retail Pharmacy in Chicago, IL

NPI Status: Active since August 22, 2016

Contact Information

5036 S COTTAGE GROVE AVE
CHICAGO, IL
ZIP 60615
Phone: (773) 373-6266

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 14D2077087
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 10-09-2027

About WALGREENS

This page provides the complete NPI Profile along with additional information for Walgreens, a provider established in Chicago, Illinois operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1083169841 assigned on August 2016. The practitioner's primary taxonomy code is 3336C0003X with license number 051299772 (IL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Carline Joseph (Pharmacist)

NPI
1083169841
Provider Name
WALGREENS
Entity Type
Organization
Location Address
5036 S COTTAGE GROVE AVE CHICAGO, IL 60615
Location Phone
(773) 373-6266
Mailing Address
8120 S COLFAX AVE CHICAGO, IL 60617
Mailing Phone
(773) 470-9831
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-22-2016
Last Update Date
08-22-2016
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Walgreens is a medicare supplier with PTAN 20397101 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
051299772
License State
IL
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CARLINE JOSEPH

Authorized Official Title
PHARMACIST
Authorized Official Phone
(773) 470-9831

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20397101
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2077087
Facility Type
Pharmacy
Certificate Effective Date
October 10, 2025
Certificate Expiration Date
October 09, 2027
Laboratory Director
GLORIA SUDBURY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walgreens to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1083169841, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 1 → 2 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 6 + 3 + 2 + 6 + 1 + 8 + 8 + 8 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1083169841.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacist
5036 S COTTAGE GROVE AVE
CHICAGO, IL 60615
Pharmacy
5036 S COTTAGE GROVE AVE
CHICAGO, IL 60615

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083169841, enumerated as an "organization" on August 22, 2016.

The provider is located at 5036 S COTTAGE GROVE AVE CHICAGO, IL 60615 and the phone number is (773) 373-6266.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.