WALGREENS #01249
NPI 1083629208
Pharmacy in Cicero, IL

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1083629208. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #01249.

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 June 4, 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.

Active since July 29, 2006CLIA Certified · 2 labs

4800 W CERMAK RD, CICERO, IL 60804(708) 863-7734(708) 863-4961 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 4, 2024, Nov 2, 2023, Feb 23, 2022 (3 updates tracked since 2022).

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About Walgreens #01249 NPPES

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

WALGREENS #01249 (NPI 1083629208) is a healthcare organization registered as a pharmacy in Cicero, Illinois and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Virginia Garza, Manager, as its authorized official.

NPPES Registry Identity

NPI1083629208

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address4800 W CERMAK RDCicero, IL 60804-2531

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(708) 863-7734

Fax(708) 863-4961

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialVirginia GarzaManager · (217) 709-2364

Enumeration DateJuly 29, 2006

Last NPPES UpdateJune 4, 20243 updates tracked since enumeration

NPPES CertifiedJune 4, 2024

✔ NPI 1083629208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in IL · 054.019159

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

4800 W CERMAK RD, Cicero, IL 60804

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Other Names 1

Doing Business AsWalgreens #01249

Other Identifiers 1

Other1449366Other Id Number-commercial Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 14D2015203

Walgreens #05103 · Cicero, IL

Active · expires Aug 31, 2027

CLIA Number14D2015203

Laboratory TypePharmacy

Certificate Effective DateSeptember 1, 2025

Certificate Expiration DateAugust 31, 2027

Laboratory DirectorRonald K. Lee

Laboratory Phone(708) 652-4856

Laboratory LocationWalgreens #051035932 W Cermak Rd, Cicero, IL 60804

CLIA data matches this NPI record on: Name

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

Certificate of Waiver 14D2287963

Walgreens 02785 · Cicero, IL

Active · expires Aug 17, 2027

CLIA Number14D2287963

Laboratory TypePharmacy

Certificate Effective DateAugust 18, 2025

Certificate Expiration DateAugust 17, 2027

Laboratory DirectorRenee J. Campagna

Laboratory Phone(708) 780-5713

Laboratory LocationWalgreens 027855840 W 35th St, Cicero, IL 60804

CLIA data matches this NPI record on: Name

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

37 services37 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

21 services21 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

14 services14 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

14 services14 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #1249 carries, from the Medicare DMEPOS supplier directory.

Walgreens #1249

DMEPOS supplier · Cicero, ILOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #1249 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20357297

Medicare Participant SinceMarch 1, 2022

Supplier Location4800 W Cermak RdCicero, IL 60804

Phone(708) 863-7734

Supplier Specialties

Pharmacy

Medicare Product Categories

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

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

LYNLEE INGRID UPHUES RPH

Pharmacist