WALGREENS #01916
NPI 1124033436
Pharmacy in Maple Grove, MN

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1124033436. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #01916.

Q: What is Walgreen Co's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on August 31, 2015. 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.

Active since July 29, 2006CLIA 24D2294409 · Waiver

13611 GROVE DR, MAPLE GROVE, MN 55311(763) 420-7788(763) 416-4057 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Walgreens #01916 NPPES

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

WALGREENS #01916 (NPI 1124033436) is a healthcare organization registered as a pharmacy in Maple Grove, Minnesota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 26, 2027 and lists Alan T Nielsen, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1124033436

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address13611 GROVE DRMaple Grove, MN 55311-4405

Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344

Phone(763) 420-7788

Fax(763) 416-4057

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialAlan T NielsenTreasurer · (847) 315-3523

Enumeration DateJuly 29, 2006

Last NPPES UpdateAugust 31, 2015

✔ NPI 1124033436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in MN · 260382

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

13611 GROVE DR, Maple Grove, MN 55311

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Other Names 1

Doing Business AsWalgreens #01916

Other Identifiers 5

Other2417651Other Id Number-commercial Number

Medicaid426358800MN

Medicare PINPHC049

Medicare PINP00400633

Medicare NSC0282930099

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.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 24D2294409

Walgreens 01916 · Maple Grove, MN

Active · expires Nov 26, 2027

CLIA Number24D2294409

Laboratory TypePharmacy

Certificate Effective DateNovember 27, 2025

Certificate Expiration DateNovember 26, 2027

Laboratory DirectorBarun Dhakal

Laboratory Phone(763) 420-7788

Laboratory LocationWalgreens 0191613622 Grove Dr, Maple Grove, MN 55311

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

86 services84 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

41 services39 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

35 services35 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #01916 carries, from the Medicare DMEPOS supplier directory.

Walgreens #01916

DMEPOS supplier · Maple Grove, MNOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #01916 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)20361977

Medicare Participant SinceMarch 1, 2022

Supplier Location13611 Grove DrMaple Grove, MN 55311

Phone(763) 420-7788

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 2

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

BINH THY NGUYEN PHARMD

Pharmacist

13611 GROVE DR
MAPLE GROVE, MN 55311

Hennepin County (763) 420-7788

JILL NOEL BUECHLER RPH

Pharmacist

13611 GROVE DR
MAPLE GROVE, MN 55311

Hennepin County (763) 420-7788

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 1124033436. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #01916.

Where is Walgreen Co located?

Walgreen Co is located at 13611 Grove Dr, Maple Grove, MN 55311. The listed phone number is (763) 420-7788.

What is Walgreen Co's specialty?

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

Does Walgreen Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #01916 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2294409) is associated with this NPI, valid through November 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walgreen Co accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 40 other insurers 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 August 31, 2015. 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.