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WALGREENS #12818
NPI 1114255049
Pharmacy in Bangor, ME

Active since December 04, 2009CLIA Certified · 2 labs

NPPES record last updated: January 13, 2016. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Walgreens #12818 NPPES

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

WALGREENS #12818 (NPI 1114255049) is a healthcare organization registered as a pharmacy in Bangor, Maine and active in the NPI registry since December 2009. The organization holds 2 active CLIA laboratory certificates and lists Alan T Nielsen, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1114255049
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address97 OAK STBangor, ME 04401-6516
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(207) 945-0351
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlan T NielsenTreasurer · (847) 315-3523
Enumeration DateDecember 4, 2009
Last NPPES UpdateJanuary 13, 2016
✔ NPI 1114255049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in ME · PH50001389
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
97 OAK ST, Bangor, ME 04401
Open in Google Maps ↗

Other Names 1

Doing Business AsWalgreens #12818

Other Identifiers 5

Medicare PINP00400633
Medicaid172260014ME
Medicare PINPHC049
Other2008452Ncpdp
Medicare NSC0282937388

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 20D2199467

Walgreens #17141 · Bangor, ME
Active · expires Nov 8, 2026
CLIA Number20D2199467
Laboratory TypePharmacy
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorKent Bridges
Laboratory Phone(207) 262-5885
Laboratory LocationWalgreens #17141566 Union Street, Bangor, ME 04401
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 20D2198867

Walgreens #11285 · Bangor, ME
Active · expires Nov 3, 2026
CLIA Number20D2198867
Laboratory TypePharmacy
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorDerek S. Joseph
Laboratory Phone(207) 262-0190
Laboratory LocationWalgreens #11285706 Broadway, Bangor, ME 04401
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 4

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

DR. TRI CAO
Pharmacist
97 OAK ST
BANGOR, ME 04401
Penobscot County (207) 945-0351
KRISTIN EREMITA PHARMD
Pharmacist
97 OAK ST
BANGOR, ME 04401
Penobscot County (207) 945-0351
KENNETH WAYNE CORBIN R.P.H.
Pharmacist
97 OAK ST
BANGOR, ME 04401
Penobscot County (207) 945-0351
DANYLE MARIE BOOBAR PHARM D
Pharmacist
97 OAK ST
BANGOR, ME 04401
Penobscot County (207) 945-0351

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 1114255049. It was assigned to this organization in the NPPES registry on December 4, 2009. The provider is doing business as Walgreens #12818.

Where is Walgreen Co. located?

Walgreen Co. is located at 97 Oak St, Bangor, ME 04401. The listed phone number is (207) 945-0351.

What is Walgreen Co.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Walgreen Co. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Walgreen Co. accept?

Health plans from Medica list Walgreen Co. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walgreen Co. was last updated on January 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.