WALGREEN CO
NPI 1255447553
Pharmacy in Greeley, CO

Active since August 21, 2006CLIA 06D2220027 · Waiver
1641 23RD AVE, GREELEY, CO 80634(970) 356-1177 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1255447553) is a healthcare organization registered as a pharmacy in Greeley, Colorado and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 7, 2027 and lists Donald C Huonker, Coporate Vice President, as its authorized official.

NPPES Registry Identity

NPI1255447553
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1641 23RD AVEGreeley, CO 80634-6012
Mailing Address1901 E Voorhees St, Ms 720Danville, IL 61834-4509 · (217) 554-8964 · Fax (217) 554-8546
Organization SubpartNo
Authorized OfficialDonald C HuonkerCoporate Vice President · (847) 914-3154
Enumeration DateAugust 21, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1255447553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1641 23RD AVE, Greeley, CO 80634

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 06D2220027

Walgreens #09244 · Greeley, CO
Active · expires Apr 7, 2027
CLIA Number06D2220027
Laboratory TypePharmacy
Certificate Effective DateApril 8, 2025
Certificate Expiration DateApril 7, 2027
Laboratory DirectorJodi M. Johnson
Laboratory Phone(970) 356-1177
Laboratory LocationWalgreens #092441641 23rd Ave, Greeley, CO 80634
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 Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · Greeley, CO

Accepts Medicare assignment

Walgreen Co 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)20367707
Medicare Participant SinceMarch 1, 2022
Supplier Location1641 23rd AveGreeley, CO 80634
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 4

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

Pharmacist
1641 23RD AVE
GREELEY, CO 80634
Pharmacist
1641 23RD AVE
GREELEY, CO 80634
Pharmacy (Community/Retail Pharmacy)
1641 23RD AVE
GREELEY, CO 80634
Clinical Medical Laboratory
1641 23RD AVE
GREELEY, CO 80634

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 1255447553. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Walgreen Co located?

Walgreen Co is located at 1641 23rd Ave, Greeley, CO 80634. The listed phone number is (970) 356-1177.

What is Walgreen Co's specialty?

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

Does Walgreen Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreen Co 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 06D2220027) is associated with this NPI, valid through April 7, 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 Walgreen Co was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.