WALGREENS #15643
NPI 1255778833
Pharmacy in Spokane, WA

NPI Status: Active since May 23, 2013

Contact Information

910 W 5TH AVE STE 270
SPOKANE, WA
ZIP 99204
Phone: (509) 624-3350
Fax: (509) 838-7769

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  • Organization
  • Pharmacy
  • Accepts Insurance

About WALGREENS #15643

This page provides the complete NPI Profile along with additional information for Walgreens #15643, a provider established in Spokane, Washington operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1255778833 assigned on May 2013. The practitioner's primary taxonomy code is 333600000X with license number CF603973 (WA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Walgreens #15643. The authorized official of this NPI record is Kira Taylor (Manager)

NPI
1255778833
Provider Legal Name
WALGREEN CO
Other Organization Name
WALGREENS #15643
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
910 W 5TH AVE STE 270 SPOKANE, WA 99204
Location Phone
(509) 624-3350
Location Fax
(509) 838-7769
Mailing Address
1901 E VOORHEES ST MS 790 DANVILLE, IL 61834
Mailing Phone
(217) 709-2351
Mailing Fax
(509) 838-7769
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-23-2013
Last Update Date
04-29-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
CF603973
License State
WA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
23336C0003XSuppliers

Pharmacy
Community/Retail Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Balance by Medica Bronze $0 Copay PCP Visits - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - PPO
  • Balance by Medica Bronze Premier - EPO
  • Balance by Medica Bronze Premier - PPO
  • Balance by Medica Catastrophic - EPO
  • Balance by Medica Catastrophic - PPO
  • Balance by Medica Expanded Bronze Standard - EPO
  • Balance by Medica Expanded Bronze Standard - PPO
  • Balance by Medica Gold $0 Copay PCP Visits - EPO
  • Balance by Medica Gold $0 Copay PCP Visits - PPO
  • Balance by Medica Gold Share - EPO
  • Balance by Medica Gold Share - PPO
  • Balance by Medica Gold Standard - EPO
  • Balance by Medica Gold Standard - PPO
  • Balance by Medica Silver $0 Copay PCP Visits - EPO
  • Balance by Medica Silver $0 Copay PCP Visits - PPO
  • Balance by Medica Silver Share - EPO
  • Balance by Medica Silver Share - PPO
  • Balance by Medica Silver Standard - EPO
  • Balance by Medica Silver Standard - PPO
  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Pioneer Alaska Standard Bronze - PPO
  • Moda Pioneer Alaska Standard Gold - PPO
  • Moda Pioneer Alaska Standard Silver - PPO
  • Moda Pioneer Bronze 6500 - PPO
  • Moda Pioneer Bronze HDHP 5500 - PPO
  • Moda Pioneer Gold 1500 - PPO
  • Moda Pioneer Silver 4500 - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIRA TAYLOR

Authorized Official Title
MANAGER
Authorized Official Phone
(217) 709-2351

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2029621MEDICAID (05)WA 
4935334OTHER (01)WANCPDP
1255778833MEDICAID (05)ID 

Reviews for WALGREENS #15643

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255778833
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051471686
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 4 + 7 + 1 + 6 + 8 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1255778833 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

MULTICARE HEALTH SYSTEM

Pharmacy

(Community/Retail Pharmacy)

910 W 5TH AVE STE 270
SPOKANE, WA
ZIP 99204

(509) 530-5390

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255778833, enumerated as an "organization" on May 23, 2013.

The provider is located at 910 W 5TH AVE STE 270 SPOKANE, WA 99204 and the phone number is (509) 624-3350.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Medica, Moda Health Plan, Inc., Medicare and. Please consult your insurance carrier or call the provider to verify.