WALGREENS PHARMACY
NPI 1205289121
Case Management in Boise, ID

Active since July 15, 2016CLIA 13D2033180 · Waiver
10580 W USTICK RD, BOISE, ID 83704(208) 377-3581 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walgreens Pharmacy NPPES

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

WALGREENS PHARMACY (NPI 1205289121) is a healthcare organization registered as a case management in Boise, Idaho and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through February 4, 2027 and lists Shenell Pawer, Manger, as its authorized official.

NPPES Registry Identity

NPI1205289121
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NameWALGREENS PHARMACY
Location Address10580 W USTICK RDBoise, ID 83704-5267
Mailing Address10580 W Ustick RdBoise, ID 83704-5267 · (208) 377-3581
Organization SubpartNo
Authorized OfficialShenell PawerManger · (208) 353-8026
Enumeration DateJuly 15, 2016
NPI 1205289121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
License Licensed in ID · PP7517
Definition
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.
10580 W USTICK RD, Boise, ID 83704

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 13D2033180

Walgreen's #05184 · Boise, ID
Active · expires Feb 4, 2027
CLIA Number13D2033180
Laboratory TypePharmacy
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorQasida M. Gaid
Laboratory Phone(208) 377-3581
Laboratory LocationWalgreen's #0518410580 W Ustick Road, Boise, ID 83704
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · Boise, ID

Accepts Medicare assignment

Walgreen Co 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)20399819
Medicare Participant SinceMarch 1, 2022
Supplier Location10580 W Ustick RdBoise, ID 83704
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 6

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

Pharmacist
10580 W USTICK RD
BOISE, ID 83704
Pharmacist
10580 W USTICK RD
BOISE, ID 83704
Pharmacy
10580 W USTICK RD
BOISE, ID 83704
Pharmacist
10580 W USTICK RD
BOISE, ID 83704
Pharmacist
10580 W USTICK RD
BOISE, ID 83704
Pharmacist
10580 W USTICK RD, STORE #5184
BOISE, ID 83704

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 Pharmacy's NPI number?

The NPI number for Walgreens Pharmacy is 1205289121. It was assigned to this organization in the NPPES registry on July 15, 2016.

Where is Walgreens Pharmacy located?

Walgreens Pharmacy is located at 10580 W Ustick Rd, Boise, ID 83704. The listed phone number is (208) 377-3581.

What is Walgreens Pharmacy's specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

Does Walgreens Pharmacy accept Medicare assignment for medical equipment?

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

Does Walgreens Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2033180) is associated with this NPI, valid through February 4, 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 Walgreens Pharmacy was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.