WALGREENS PHARMACY
NPI 1205289121
Case Management in Boise, ID
NPI Status: Active since July 15, 2016
Contact Information
10580 W USTICK RD
BOISE, ID
ZIP 83704
Phone: (208) 377-3581
- Organization
- Case Management
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 13D2033180
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 02-04-2027
About WALGREENS PHARMACY
This page provides the complete NPI Profile along with additional information for Walgreens Pharmacy, a provider established in Boise, Idaho operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1205289121 assigned on July 2016. The practitioner's primary taxonomy code is 251B00000X with license number PP7517 (ID). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Shenell Pawer (Manger)
- NPI
- 1205289121
- Provider Name
- WALGREENS PHARMACY
- Entity Type
- Organization
- Location Address
- 10580 W USTICK RD BOISE, ID 83704
- Location Phone
- (208) 377-3581
- Mailing Address
- 10580 W USTICK RD BOISE, ID 83704
- Mailing Phone
- (208) 377-3581
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-15-2016
- Last Update Date
- 07-15-2016
- Code Navigator
Walgreens Pharmacy is a medicare supplier with PTAN 20399819 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).
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
Case Management
- Taxonomy Code
- 251B00000X
- Type
- Agencies
- License No.
- PP7517
- License State
- ID
- Taxonomy Description
- An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20399819
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- 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
- Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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
- 13D2033180
- Facility Type
- Pharmacy
- Certificate Effective Date
- February 05, 2025
- Certificate Expiration Date
- February 04, 2027
- Laboratory Director
- QASIDA M. GAID
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Walgreens Pharmacy 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1205289121, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205289121, enumerated as an "organization" on July 15, 2016.
The provider is located at 10580 W USTICK RD BOISE, ID 83704 and the phone number is (208) 377-3581.
Case Management with taxonomy code 251B00000X.
