WALGREENS #15988
NPI 1124433784
Pharmacy in Slidell, LA

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1124433784. It was assigned to this organization in the NPPES registry on June 23, 2014. The provider is doing business as Walgreens #15988.

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 July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 23, 2014CLIA 19D2015546 · Waiver

1051 GAUSE BLVD STE 101, SLIDELL, LA 70458(985) 645-9934 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 17, 2017, Jan 20, 2016 (3 updates tracked since 2016).

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About Walgreens #15988 NPPES

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

WALGREENS #15988 (NPI 1124433784) is a healthcare organization registered as a pharmacy in Slidell, Louisiana and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through February 7, 2028 and lists Alan T Nielsen, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1124433784

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address1051 GAUSE BLVD STE 101Slidell, LA 70458-2951

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

Phone(985) 645-9934

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialAlan T NielsenTreasurer · (847) 315-3523

Enumeration DateJune 23, 2014

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1124433784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in LA · PHY.006941-RC

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

1051 GAUSE BLVD STE 101, Slidell, LA 70458

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Other Names 1

Doing Business AsWalgreens #15988

Other Identifiers 2

Other1937638LA · Ncpdp

Medicaid2202995LA

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 19D2015546

Walgreens #04007 · Slidell, LA

Active · expires Feb 7, 2028

CLIA Number19D2015546

Laboratory TypePharmacy

Certificate Effective DateFebruary 8, 2026

Certificate Expiration DateFebruary 7, 2028

Laboratory DirectorMichael C. Wible

Laboratory Phone(985) 641-5557

Laboratory LocationWalgreens #040071260 Front St, Slidell, LA 70458

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

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

OCHSNER PHARMACY AND WELLNESS LLC

Pharmacy (Community/Retail Pharmacy)

1051 GAUSE BLVD STE 101
SLIDELL, LA 70458

St. Tammany Parish (985) 639-3726

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 1124433784. It was assigned to this organization in the NPPES registry on June 23, 2014. The provider is doing business as Walgreens #15988.

Where is Walgreen Co located?

Walgreen Co is located at 1051 Gause Blvd Ste 101, Slidell, LA 70458. The listed phone number is (985) 645-9934.

What is Walgreen Co's specialty?

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

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2015546) is associated with this NPI, valid through February 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.