WALGREEN CO
NPI 1205156916
Pharmacy in Berwyn, IL
NPI Status: Active since June 03, 2010
Contact Information
3249 OAK PARK AVE STE T1201
BERWYN, IL
ZIP 60402
Phone: (708) 484-6693
- Organization
- Pharmacy
- Accepts Insurance
- CLIA Number: 14D2015200
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 09-08-2025
About WALGREEN CO
This page provides the complete NPI Profile along with additional information for Walgreen Co, a provider established in Berwyn, Illinois operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1205156916 assigned on June 2010. The practitioner's primary taxonomy code is 333600000X with license number 054-017541 (IL). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mr. Alan T Nielsen (Treasurer)
- NPI
- 1205156916
- Provider Name
- WALGREEN CO
- Entity Type
- Organization
- Location Address
- 3249 OAK PARK AVE STE T1201 BERWYN, IL 60402
- Location Phone
- (708) 484-6693
- Mailing Address
- 1901 E VOORHEES ST MS 790 DANVILLE, IL 61834
- Mailing Phone
- (217) 709-2386
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-03-2010
- Last Update Date
- 04-20-2018
- Code Navigator
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
- Taxonomy Code
- 333600000X
- Type
- Suppliers
- License No.
- 054-017541
- License State
- IL
- Taxonomy Description
- 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.
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 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 2 | 3336C0003X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 2025 HMO 1500 Elite Gold - HMO
- 2025 HMO 5000 Elite Silver - HMO
- 2025 HMO 9200 Elite Catastrophic - HMO
- 2025 POS 1000 Elite Gold - POS
- 2025 POS 1500 Elite Gold - POS
- 2025 POS 2500 Elite Gold - POS
- 2025 POS 4200 Elite Silver - POS
- 2025 POS 5000 Elite Silver - POS
- 2025 POS 6500 Elite Bronze - POS
- 2025 POS 7250 Elite Silver - POS
- 2025 POS 7500 Elite Bronze - POS
- 2025 POS HSA 7350 Elite Bronze - POS
- 2025 Simplete Memorial HMO Limited Network 3500 Silver - HMO
- 2025 Simplete Memorial HMO Limited Network 2500 Gold - HMO
- Balance by Medica Bronze $0 Copay PCP Visits - EPO
- Balance by Medica Bronze $0 Copay PCP Visits - PPO
- Balance by Medica Bronze Premier - EPO
- Balance by Medica Bronze Premier - PPO
- Balance by Medica Catastrophic - EPO
- Balance by Medica Catastrophic - PPO
- Balance by Medica Expanded Bronze Standard - EPO
- Balance by Medica Expanded Bronze Standard - PPO
- Balance by Medica Gold $0 Copay PCP Visits - EPO
- Balance by Medica Gold $0 Copay PCP Visits - PPO
- Balance by Medica Gold Share - EPO
- Balance by Medica Gold Share - PPO
- Balance by Medica Gold Standard - EPO
- Balance by Medica Gold Standard - PPO
- Balance by Medica Silver $0 Copay PCP Visits - EPO
- Balance by Medica Silver $0 Copay PCP Visits - PPO
- Balance by Medica Silver Share - EPO
- Balance by Medica Silver Share - PPO
- Balance by Medica Silver Standard - EPO
- Balance by Medica Silver Standard - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1484473 | OTHER (01) | NCPDP |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2015200
- Facility Type
- Pharmacy
- Certificate Effective Date
- September 09, 2023
- Certificate Expiration Date
- September 08, 2025
- Laboratory Director
- FRANK J. CARUSO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Walgreen Co to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for WALGREEN CO
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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 | 2 | 0 | 5 | 1 | 5 | 6 | 9 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 2 | 5 | 12 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 2 + 5 + 1 + 2 + 9 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1205156916 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205156916, enumerated as an "organization" on June 03, 2010.
The provider is located at 3249 OAK PARK AVE STE T1201 BERWYN, IL 60402 and the phone number is (708) 484-6693.
Pharmacy with taxonomy code 333600000X.
The provider might be accepting Accepts: Health Alliance, Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
