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WALGREENS
NPI 1093067258
Pharmacist in Reno, NV

Active since October 11, 2012CLIA 29D2206572 · Waiver
12645 S VIRGINIA ST, RENO, NV 89511(775) 853-9887 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walgreens NPPES

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

WALGREENS (NPI 1093067258) is a healthcare organization registered as a pharmacist in Reno, Nevada and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Aurora Bejto, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1093067258
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameWALGREENS
Location Address12645 S VIRGINIA STReno, NV 89511
Mailing Address12645 S Virginia StReno, NV 89511
Phone(775) 853-9887
Organization SubpartNo
Authorized OfficialAurora BejtoPharmacist · (775) 853-9887
Enumeration DateOctober 11, 2012
✔ NPI 1093067258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NV · 18384
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
12645 S VIRGINIA ST, Reno, NV 89511
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 29D2206572

Walgreens #2662 · Reno, NV
Active · expires Dec 20, 2026
CLIA Number29D2206572
Laboratory TypePharmacy
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorMichelle H. Pham
Laboratory Phone(775) 853-9887
Laboratory LocationWalgreens #266212645 S Virginia St, Reno, NV 89511
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #2662 carries, from the Medicare DMEPOS supplier directory.

Walgreens #2662

DMEPOS supplier · Reno, NVOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #2662 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)20368583
Medicare Participant SinceMarch 1, 2022
Supplier Location12645 S Virginia StReno, NV 89511
Phone(775) 853-9887
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 5

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

SHIRLEY M HOPKINS RPH
Pharmacist
12645 S VIRGINIA ST
RENO, NV 89511
Washoe County (775) 853-9887
DR. TERESITA B TADIFA PHARMD
Pharmacist
12645 S VIRGINIA ST
RENO, NV 89511
Washoe County (775) 853-9887
MICHAEL JAY CHRISTIANSEN PHARM.D.
Student in an Organized Health Care Education/Training Program
12645 S VIRGINIA ST
RENO, NV 89511
Washoe County (775) 853-9887
DAVID LUDWICK DICKSON
Pharmacist
12645 S VIRGINIA ST
RENO, NV 89511
Washoe County (775) 853-9887
WALGREEN CO
Pharmacy
12645 S VIRGINIA ST
RENO, NV 89511
Washoe County (775) 853-9887

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 Walgreens's NPI number?

The NPI number for Walgreens is 1093067258. It was assigned to this organization in the NPPES registry on October 11, 2012.

Where is Walgreens located?

Walgreens is located at 12645 S Virginia St, Reno, NV 89511. The listed phone number is (775) 853-9887.

What is Walgreens's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Does Walgreens accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #2662 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreens hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2206572) is associated with this NPI, valid through December 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walgreens was last updated on October 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.