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WALGREENS
NPI 1164830790
Pharmacist in Phoenix, AZ

Active since July 28, 2014CLIA 03D2011598 · Waiver
1919 N DOBSON, PHOENIX, AZ 85524(480) 899-6713(480) 899-3415 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walgreens NPPES

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

WALGREENS (NPI 1164830790) is a healthcare organization registered as a pharmacist in Phoenix, Arizona and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists Bradley Scott Bidese, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1164830790
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameWALGREENS
Location Address1919 N DOBSONPhoenix, AZ 85524
Mailing Address14409 S 49th StPhoenix, AZ 85044 · (708) 912-0348
Phone(480) 899-6713
Fax(480) 899-3415
Organization SubpartNo
Authorized OfficialBradley Scott BidesePharmacist · (708) 912-0348
Enumeration DateJuly 28, 2014
✔ NPI 1164830790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in AZ · S020688
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.
1919 N DOBSON, Phoenix, AZ 85524
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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

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 03D2011598

Walgreens #03727 · Chandler, AZ
Active · expires May 3, 2027
CLIA Number03D2011598
Laboratory TypePharmacy
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorMohammed Abdelhaq
Laboratory Phone(480) 899-6713
Laboratory LocationWalgreens #037271919 N Dobson Rd, Chandler, AZ 85224
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1164830790. It was assigned to this organization in the NPPES registry on July 28, 2014.

Where is Walgreens located?

Walgreens is located at 1919 N Dobson, Phoenix, AZ 85524. The listed phone number is (480) 899-6713.

What is Walgreens's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Does Walgreens hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2011598) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walgreens was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.