WALGREENS
NPI 1205170610
Pharmacist in Berkeley, CA

Active since November 26, 2012CLIA 05D2297862 · Waiver
2801 ADELINE ST, BERKELEY, CA 94703(510) 981-8392 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Walgreens NPPES

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

WALGREENS (NPI 1205170610) is a healthcare organization registered as a pharmacist in Berkeley, California and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through January 22, 2028 and lists Hong-vy Bui-nguyen, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1205170610
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameWALGREENS
Location Address2801 ADELINE STBerkeley, CA 94703-2204
Mailing Address100 Grand Ave Apt 104Oakland, CA 94612-3823
Organization SubpartNo
Authorized OfficialHong-vy Bui-nguyenPharmacist · (714) 414-5146
Enumeration DateNovember 26, 2012
NPI 1205170610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 67891
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.

2801 ADELINE ST, Berkeley, CA 94703

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 05D2297862

Walgreens 04614 · Berkeley, CA
Active · expires Jan 22, 2028
CLIA Number05D2297862
Laboratory TypePharmacy
Certificate Effective DateJanuary 23, 2026
Certificate Expiration DateJanuary 22, 2028
Laboratory DirectorIris G. Paw
Laboratory Phone(510) 981-8392
Laboratory LocationWalgreens 046142801 Adeline St, Berkeley, CA 94703
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Pharmacist
2801 ADELINE ST
BERKELEY, CA 94703
Pharmacist
2801 ADELINE ST
BERKELEY, CA 94703
Pharmacist
2801 ADELINE ST
BERKELEY, CA 94703
Pharmacist
2801 ADELINE ST
BERKELEY, CA 94703
Pharmacist
2801 ADELINE ST
BERKELEY, CA 94703
Pharmacy
2801 ADELINE ST
BERKELEY, CA 94703
Pharmacist
2801 ADELINE ST
BERKELEY, CA 94703
Pharmacist
2801 ADELINE ST
BERKELEY, CA 94703

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 1205170610. It was assigned to this organization in the NPPES registry on November 26, 2012.

Where is Walgreens located?

Walgreens is located at 2801 Adeline St, Berkeley, CA 94703. The listed phone number is (510) 981-8392.

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 05D2297862) is associated with this NPI, valid through January 22, 2028. 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 November 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.