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WALGREENS #07055
NPI 1083800643
Pharmacy in Chicago, IL

Active since September 18, 2007CLIA 14D2184077 · Waiver
347 E 95TH ST, CHICAGO, IL 60619(773) 568-6457 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 15, 2018, May 22, 2018, Dec 22, 2015 (3 updates tracked since 2015).

About Walgreens #07055 NPPES

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

WALGREENS #07055 (NPI 1083800643) is a healthcare organization registered as a pharmacy in Chicago, Illinois and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1083800643
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address347 E 95TH STChicago, IL 60619-7356
Mailing Address1901 E Voorhees St, Mailstop #790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(773) 568-6457
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateSeptember 18, 2007
Last NPPES UpdateJune 15, 20183 updates tracked since enumeration
✔ NPI 1083800643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in IL · 054.019208
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
347 E 95TH ST, Chicago, IL 60619
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Other Names 1

Doing Business AsWalgreens #07055

Other Identifiers 2

Medicaid=========055IL
Other1481287Ncpdp

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 14D2184077

Walgreens #05124 · Chicago, IL
Active · expires May 13, 2028
CLIA Number14D2184077
Laboratory TypeCovid-19 Test Site
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorLatasha N. Guy
Laboratory Phone(847) 527-4238
Laboratory LocationWalgreens #051248628 S Cottage Grove Ave, Chicago, IL 60619
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MS. SONYA L CARTER PHARMD
Pharmacist
347 E 95TH ST
CHICAGO, IL 60619
Cook County (773) 568-6457

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 1083800643. It was assigned to this organization in the NPPES registry on September 18, 2007. The provider is doing business as Walgreens #07055.

Where is Walgreen Co. located?

Walgreen Co. is located at 347 E 95th St, Chicago, IL 60619. The listed phone number is (773) 568-6457.

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 14D2184077) is associated with this NPI, valid through May 13, 2028. 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 June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.