WALGREENS #18019 - NPI 1154848794 - Pharmacy in Ithaca, NY

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1154848794. It was assigned to this organization in the NPPES registry on August 24, 2017. The provider is doing business as Walgreens #18019.

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 October 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Walgreens #18019 NPPES

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

WALGREENS #18019 (NPI 1154848794) is a healthcare organization registered as a pharmacy in Ithaca, New York and active in the NPI registry since August 2017. The organization lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1154848794

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address2309 N TRIPHAMMER RDIthaca, NY 14850-1060

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

Phone(607) 257-2011

Fax(607) 266-0943

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialAlyssa SweetenManager · (217) 709-2386

Enumeration DateAugust 24, 2017

Last NPPES UpdateOctober 25, 20195 updates tracked since enumeration

✔ NPI 1154848794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NY · 036263

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

2309 N TRIPHAMMER RD, Ithaca, NY 14850

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Other Names 1

Doing Business AsWalgreens #18019

Other Identifiers 2

Medicaid05043623NY

Other5822893NY · Ncpdp

Accepted Insurance

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

Other Providers at the Same Location NPPES 12

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

DR. RAMINDER SINGH DDS

Dentist (General Practice)