WALGREENS #17003
NPI 1205352960
Pharmacy - Community/Retail Pharmacy in Greeley, CO

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1205352960. It was assigned to this organization in the NPPES registry on August 15, 2017. The provider is doing business as Walgreens #17003.

Q: What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 15, 2017CLIA 06D2229710 · Waiver

1013 11TH ST, GREELEY, CO 80631(970) 304-1218(970) 304-1076 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2022, Jan 14, 2019, Jul 27, 2018 and 3 more (6 updates tracked since 2017).

On this page

About Walgreens #17003 NPPES

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

WALGREENS #17003 (NPI 1205352960) is a healthcare organization registered as a community/retail pharmacy in Greeley, Colorado and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1205352960

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWALGREEN CO

Location Address1013 11TH STGreeley, CO 80631

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(970) 304-1218

Fax(970) 304-1076

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira TaylorManager · (217) 709-2351

Enumeration DateAugust 15, 2017

Last NPPES UpdateMay 9, 20226 updates tracked since enumeration

NPPES CertifiedMay 9, 2022

✔ NPI 1205352960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in CO · PDO.0560000022

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

1013 11TH ST, Greeley, CO 80631

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Other Names 1

Doing Business AsWalgreens #17003

Other Identifiers 2

Medicaid1205352960CO

Other0625573CO · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

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 06D2229710

Walgreens #17003 · Greeley, CO

Active · expires Jul 14, 2027

CLIA Number06D2229710

Laboratory TypePharmacy

Certificate Effective DateJuly 15, 2025

Certificate Expiration DateJuly 14, 2027

Laboratory DirectorMario Mena Mendez

Laboratory Phone(970) 304-1218

Laboratory LocationWalgreens #170031013 11th Street, Greeley, CO 80631

CLIA data matches this NPI record on: Address Name 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 Walgreens #17003 carries, from the Medicare DMEPOS supplier directory.

Walgreens #17003

DMEPOS supplier · Greeley, COOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #17003 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)20397407

Medicare Participant SinceMarch 1, 2022

Supplier Location1013 11th StGreeley, CO 80631

Phone(970) 304-1218

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 2

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

JAMES EDWARD NEERING RPH

Pharmacist

1013 11TH ST
GREELEY, CO 80631

Weld County (970) 304-1218

WALGREEN CO.

Clinical Medical Laboratory

1013 11TH ST
GREELEY, CO 80631

Weld County (970) 304-1218

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 Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1205352960. It was assigned to this organization in the NPPES registry on August 15, 2017. The provider is doing business as Walgreens #17003.

Where is Walgreen Co located?

Walgreen Co is located at 1013 11th St, Greeley, CO 80631. The listed phone number is (970) 304-1218.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walgreen Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #17003 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2229710) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walgreen Co accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 39 other insurers list Walgreen Co as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.