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WALGREEN CO
NPI 1215450242
Pharmacy in Bountiful, UT

Active since July 21, 2017CLIA Certified · 2 labs
535 S MAIN ST, BOUNTIFUL, UT 84010(217) 709-2386 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 15, 2018, May 22, 2018, Dec 20, 2017 and 1 more (4 updates tracked since 2017).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1215450242) is a healthcare organization registered as a pharmacy in Bountiful, Utah and active in the NPI registry since July 2017. The organization holds 2 active CLIA laboratory certificates and lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1215450242
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address535 S MAIN STBountiful, UT 84010-6322
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(217) 709-2386
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateJuly 21, 2017
Last NPPES UpdateJune 15, 20184 updates tracked since enumeration
✔ NPI 1215450242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
535 S MAIN ST, Bountiful, UT 84010
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Other Identifiers 2

Other10604251-1703UT · Board Of Pharmacy
Other4614029UT · Ncpdp

CLIA Laboratory Certificates CMS CLIA 2

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 46D2063256

Walgreen's #12452 · Woods Cross, UT
Active · expires Jul 27, 2027
CLIA Number46D2063256
Laboratory TypePharmacy
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorSabrina Atkinson
Laboratory Phone(901) 335-3610
Laboratory LocationWalgreen's #124522576 S Main St, Woods Cross, UT 84010
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2011527

Walgreens #06183 · Bountiful, UT
Active · expires Feb 8, 2027
CLIA Number46D2011527
Laboratory TypePharmacy
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorMason T. Cook
Laboratory Phone(801) 294-9107
Laboratory LocationWalgreens #06183515 South 500 West, Bountiful, UT 84010
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. PAUL HINCKLEY PHARMD
Pharmacist
535 S MAIN ST
BOUNTIFUL, UT 84010
Davis County (801) 298-3100
DR. DAMIEN POWERS PHARM.D.
Pharmacist
535 S MAIN ST
BOUNTIFUL, UT 84010
Davis County (801) 298-3100
JOHN L WENDT
Pharmacist
535 S MAIN ST
BOUNTIFUL, UT 84010
Davis County (801) 414-4201
DR. STEVEN L WAYMAN RPH,PHARMD
Pharmacist
535 S MAIN ST
BOUNTIFUL, UT 84010
Davis County (801) 298-3100
APRIL HARRIS
Pharmacist
535 S MAIN ST
BOUNTIFUL, UT 84010
Davis County (801) 298-3100

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 1215450242. It was assigned to this organization in the NPPES registry on July 21, 2017.

Where is Walgreen Co located?

Walgreen Co is located at 535 S Main St, Bountiful, UT 84010. The listed phone number is (217) 709-2386.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Walgreen Co hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.