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: July 19, 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

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.

Reviews for WALGREENS PHARMACY

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

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
Pharmacist
10580 W USTICK RD
BOISE, ID 83704
Pharmacist
10580 W USTICK RD
BOISE, ID 83704
Pharmacy
10580 W USTICK RD
BOISE, ID 83704

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.