WALGREENS #17003
NPI 1205352960
Pharmacy - Community/Retail Pharmacy in Greeley, CO
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
Specialties & Licenses 3
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.
Other Names 1
Other Identifiers 2
Accepted Insurance
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20397407
- 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
- 06D2229710
- Facility Type
- Pharmacy
- Certificate Effective Date
- July 15, 2025
- Certificate Expiration Date
- July 14, 2027
- Laboratory Director
- MARIO MENA MENDEZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Walgreens #17003 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.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205352960, enumerated as an "organization" on August 15, 2017.
The provider is located at 1013 11TH ST GREELEY, CO 80631 and the phone number is (970) 304-1218.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.
