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WALGREEN CO./ILL.
NPI 1194002774
Pharmacy - Community/Retail Pharmacy in Salt Lake City, UT

Active since November 09, 2011
4040 W 5415 S, SALT LAKE CITY, UT 84118(801) 982-1912 Get Directions Write a Review

NPPES record last updated: November 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walgreen Co./ill. NPPES

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

WALGREEN CO./ILL. (NPI 1194002774) is a healthcare organization registered as a community/retail pharmacy in Salt Lake City, Utah and active in the NPI registry since November 2011. The organization lists Chad Jolley, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1194002774
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREEN CO./ILL.
Location Address4040 W 5415 SSalt Lake City, UT 84118-4308
Mailing Address200 Wilmot RdDeerfield, IL 60015-4620 · (801) 982-1912 · Fax (801) 982-1932
Phone(801) 982-1912
Organization SubpartNo
Authorized OfficialChad JolleyPharmacist · (801) 982-1912
Enumeration DateNovember 9, 2011
✔ NPI 1194002774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in UT · 9691412-1701
Definition
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.
4040 W 5415 S, Salt Lake City, UT 84118
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Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #06282 carries, from the Medicare DMEPOS supplier directory.

Walgreens #06282

DMEPOS supplier · Salt Lake City, UTOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #06282 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20390153
Medicare Participant SinceMarch 1, 2022
Supplier Location4040 W 5415 SSalt Lake City, UT 84118
Phone(801) 982-1912
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 8

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

NABILA JAVED PHARMD
Pharmacist
4040 W 5415 S
KEARNS, UT 84118
Salt Lake County (801) 793-3810
MARWA ALJEREH
Pharmacist
4040 W 5415 S
SALT LAKE CITY, UT 84118
Salt Lake County (385) 231-8944
WALGREEN CO
Pharmacy
4040 W 5415 S
SALT LAKE CITY, UT 84118
Salt Lake County (801) 982-1873
CHAD JOLLEY PHARM D
Pharmacist
4040 W 5415 S
SALT LAKE CITY, UT 84118
Salt Lake County (801) 982-1912
DR. CALE WYNN HONE PHARM.D.
Pharmacist
4040 W 5415 S
TAYLORSVILLE, UT 84118
Salt Lake County (801) 982-1912
TARA CARLSON PHARMD
Pharmacist
4040 W 5415 S
SALT LAKE CITY, UT 84118
Salt Lake County (801) 982-1912
DR. ADAM SCOTT MATLOCK PHARMD
Pharmacist
4040 W 5415 S
TAYLORSVILLE, UT 84118
Salt Lake County (801) 982-1912
KATHLEEN ANN CARPENTER RPH
Pharmacist
4040 W 5415 S
SALT LAKE CITY, UT 84118
Salt Lake County (801) 982-1912

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./Ill.'s NPI number?

The NPI number for Walgreen Co./Ill. is 1194002774. It was assigned to this organization in the NPPES registry on November 9, 2011.

Where is Walgreen Co./Ill. located?

Walgreen Co./Ill. is located at 4040 W 5415 S, Salt Lake City, UT 84118. The listed phone number is (801) 982-1912.

What is Walgreen Co./Ill.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walgreen Co./Ill. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #06282 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Walgreen Co./Ill. was last updated on November 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.