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WALGREENS
NPI 1225305634
Point of Service in Peru, IL

Active since November 30, 2011CLIA 14D2015252 · Waiver
1033 SHOOTING PARK ROAD, PERU, IL 61354(815) 223-7853 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walgreens NPPES

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

WALGREENS (NPI 1225305634) is a healthcare organization registered as a point of service in Peru, Illinois and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Kent Charles Lewis, Rph, as its authorized official.

NPPES Registry Identity

NPI1225305634
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameWALGREENS
Location Address1033 SHOOTING PARK ROADPeru, IL 61354
Mailing Address1033 Shooting Park RdPeru, IL 61354-1870 · (815) 223-7853
Phone(815) 223-7853
Organization SubpartNo
Authorized OfficialKent Charles LewisRph · (815) 223-7853
Enumeration DateNovember 30, 2011
✔ NPI 1225305634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in IL · 054006628
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
1033 SHOOTING PARK ROAD, Peru, IL 61354
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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 14D2015252

Walgreens # 06554 · Peru, IL
Active · expires Mar 24, 2027
CLIA Number14D2015252
Laboratory TypePharmacy
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorRenee Lyons
Laboratory Phone(815) 223-7853
Laboratory LocationWalgreens # 065541033 Shooting Park Rd, Peru, IL 61354
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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's NPI number?

The NPI number for Walgreens is 1225305634. It was assigned to this organization in the NPPES registry on November 30, 2011.

Where is Walgreens located?

Walgreens is located at 1033 Shooting Park Road, Peru, IL 61354. The listed phone number is (815) 223-7853.

What is Walgreens's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Does Walgreens hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2015252) is associated with this NPI, valid through March 24, 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 was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.