WALGREENS
NPI 1164703203
Pharmacy - Community/Retail Pharmacy in Andover, KS

NPI Status: Active since September 02, 2011

Contact Information

440 N ANDOVER RD
ANDOVER, KS
ZIP 67002
Phone: (316) 218-0819

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Authorized Official
Medical Equipment Supplier
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Pharmacy
Community/Retail Pharmacy
Medicare Supplier
Accepts Medicare Approved Payment

About WALGREENS

This page provides the complete NPI Profile along with additional information for Walgreens, a provider established in Andover, Kansas operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1164703203 assigned on September 2011. The practitioner's primary taxonomy code is 3336C0003X with license number KS1-14452 (KS). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Jared Collette Pharmd (Pharmacist)

NPI: 1164703203
Provider Name: WALGREENS
Entity Type: Organization
Location Address: 440 N ANDOVER RD ANDOVER, KS 67002
Location Phone: (316) 218-0819
Mailing Address: 440 N ANDOVER RD ANDOVER, KS 67002
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-02-2011
Last Update Date: 09-02-2011
Code Navigator

Walgreens is a medicare supplier with PTAN 20394449 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pharmacy Community/Retail Pharmacy
Taxonomy Code: 3336C0003X
Type: Suppliers
License No.: KS1-14452
License State: KS
Taxonomy Description: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	3336C0004X	Suppliers	Pharmacy Compounding Pharmacy	KS1-14452 (KS)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: JARED COLLETTE PHARMD
Authorized Official Title: PHARMACIST
Authorized Official Phone: (316) 218-0818

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN: 20394449
Accepts Medicare Assignment: YES
Specialities List: Pharmacy.
Competitive Bidding: NO

Supplies List

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
Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	6	4	7	0	3	2	0	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	12	4	14	0	6	2	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 4 + 0 + 6 + 2 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 3									3

The NPI number 1164703203 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.