WALGREENS #06376
NPI 1184631160
Pharmacy in Chicago, IL

Active since August 02, 2006CLIA 14D2234378 · Waiver
8636 S ASHLAND AVE, CHICAGO, IL 60620(773) 238-1103 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2018, May 22, 2018, Dec 1, 2015 (3 updates tracked since 2015).

About Walgreens #06376 NPPES

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

WALGREENS #06376 (NPI 1184631160) is a healthcare organization registered as a pharmacy in Chicago, Illinois and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 30, 2027 and lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1184631160
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address8636 S ASHLAND AVEChicago, IL 60620-4829
Mailing Address1901 E Voorhees St, Mailstop #790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateAugust 2, 2006
Last NPPES UpdateJune 15, 20183 updates tracked since enumeration
NPI 1184631160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in IL · 054.019319
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
8636 S ASHLAND AVE, Chicago, IL 60620

Other Names 1

Doing Business AsWalgreens #06376

Other Identifiers 2

Other1476743Other Id Number-commercial Number
Medicaid=========010IL

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 14D2234378

Walgreens #05825 · Chicago, IL
Active · expires Aug 30, 2027
CLIA Number14D2234378
Laboratory TypePharmacy
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorLucius Jenkins
Laboratory Phone(773) 651-2118
Laboratory LocationWalgreens #058251213 W 79th St, Chicago, IL 60620
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 2

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

Pharmacist
8636 S ASHLAND AVE
CHICAGO, IL 60620
Pharmacist
8636 S ASHLAND AVE
CHICAGO, IL 60620

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 1184631160. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Walgreens #06376.

Where is Walgreen Co located?

Walgreen Co is located at 8636 S Ashland Ave, Chicago, IL 60620. The listed phone number is (773) 238-1103.

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 14D2234378) is associated with this NPI, valid through August 30, 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 Walgreen Co was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.