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WALGREENS
NPI 1114273307
Pharmacist in Las Vegas, NV

Active since July 25, 2012CLIA Certified · 2 labs
6401 W CHARLESTON BLVD, LAS VEGAS, NV 89146(702) 259-7002 Get Directions Write a Review

NPPES record last updated: July 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walgreens NPPES

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

WALGREENS (NPI 1114273307) is a healthcare organization registered as a pharmacist in Las Vegas, Nevada and active in the NPI registry since July 2012. The organization holds 2 active CLIA laboratory certificates and lists Corrine Travous, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1114273307
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameWALGREENS
Location Address6401 W CHARLESTON BLVDLas Vegas, NV 89146-1118
Mailing Address6401 W Charleston BlvdLas Vegas, NV 89146-1118
Phone(702) 259-7002
Organization SubpartNo
Authorized OfficialCorrine TravousPharmacist · (702) 428-7009
Enumeration DateJuly 25, 2012
✔ NPI 1114273307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
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.
6401 W CHARLESTON BLVD, Las Vegas, NV 89146
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 29D2242956

Walgreens #03915 · Las Vegas, NV
Active · expires Nov 14, 2027
CLIA Number29D2242956
Laboratory TypePharmacy
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorMichael Daugherty
Laboratory Phone(702) 259-7002
Laboratory LocationWalgreens #039156401 W Charleston Blvd, Suite 100, Las Vegas, NV 89146
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2310737

Walgreens Health Services, LLC · Las Vegas, NV
Active · expires Sep 8, 2026
CLIA Number29D2310737
Laboratory TypeHealth Clinic
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorSashidaran M Moodley
Laboratory Phone(847) 315-2500
Laboratory LocationWalgreens Health Services, LLC6401 W Charleston Blvd Suite 101, Las Vegas, NV 89146
CLIA data matches this NPI record on: Address Name
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 #03915 carries, from the Medicare DMEPOS supplier directory.

Walgreens #03915

DMEPOS supplier · Las Vegas, NVOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #03915 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)20391677
Medicare Participant SinceMarch 1, 2022
Supplier Location6401 W Charleston BlvdLas Vegas, NV 89146
Phone(702) 259-7002
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 4

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

MS. NADINE RAMOS TUMANENG PHARMD
Pharmacist
6401 W CHARLESTON BLVD
LAS VEGAS, NV 89146
Clark County (702) 259-7002
DAVID R. FERRELL, M.D., P.C.
Clinic/Center (Urgent Care)
6401 W CHARLESTON BLVD
LAS VEGAS, NV 89146
Clark County (702) 878-0295
KRISTINE HA PHARM.D.
Pharmacist
6401 W CHARLESTON BLVD
LAS VEGAS, NV 89146
Clark County (702) 259-7002
CHRISTINA Y GALLEGOS
Pharmacist
6401 W CHARLESTON BLVD
LAS VEGAS, NV 89146
Clark County (702) 259-7002

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 1114273307. It was assigned to this organization in the NPPES registry on July 25, 2012.

Where is Walgreens located?

Walgreens is located at 6401 W Charleston Blvd, Las Vegas, NV 89146. The listed phone number is (702) 259-7002.

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 #03915 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreens 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.

When was this NPI record last updated?

The NPPES record for Walgreens was last updated on July 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.