WALGREEN CO
NPI 1104832591
Pharmacy in Libertyville, IL
About Walgreen Co NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALGREEN CO (NPI 1104832591), doing business as Walgreens #05258, is a healthcare organization registered as a pharmacy in Libertyville, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 16, 2027 and lists Jennifer Ponce, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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.
Other Names 1
Other Identifiers 2
Accepted Insurance
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 14D2015218
Walgreens #05258 · Libertyville, ILAreas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medical Equipment Supplier Medicare DMEPOS 7
Medicare supplier enrollment and the product categories Walgreens #5258 carries, from the Medicare DMEPOS supplier directory.
Walgreens #5258
DMEPOS supplier · Libertyville, ILOperated by Walgreen CoAccepts Medicare assignment
Walgreens #5258 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.
Medicare Product Categories
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LIBERTYVILLE, IL 60048
LIBERTYVILLE, IL 60048
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104832591, enumerated as an "organization" on July 31, 2006.
The provider is located at 1470 S MILWAUKEE AVE LIBERTYVILLE, IL 60048 and the phone number is (847) 247-0682.
Pharmacy with taxonomy code 333600000X.
The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.
