WALGREEN EASTERN CO #13775
NPI 1285861336
Pharmacy - Clinic Pharmacy in New York, NY

NPI Status: Active since June 16, 2009

Contact Information

850 3RD AVE
NEW YORK, NY
ZIP 10022
Phone: (516) 352-8548

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  • Organization
  • Pharmacy
  • Clinic Pharmacy
  • CLIA Number: 33D2293949
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 03-26-2027

About WALGREEN EASTERN CO #13775

This page provides the complete NPI Profile along with additional information for Walgreen Eastern Co #13775, a provider established in New York, New York operating as a Pharmacy, focusing in clinic pharmacy . The healthcare provider is registered in the NPI registry with number 1285861336 assigned on June 2009. The practitioner's primary taxonomy code is 3336C0002X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Walgreen Eastern Co #13775. The authorized official of this NPI record is Mr. Kermit R Crawford (Sr. Vice President)

NPI
1285861336
Provider Legal Name
WALGREEN CO
Other Organization Name
WALGREEN EASTERN CO #13775
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
850 3RD AVE NEW YORK, NY 10022
Location Phone
(516) 352-8548
Mailing Address
1901 E VOORHEES ST M/S 790 DANVILLE, IL 61834
Mailing Phone
(217) 554-8494
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-16-2009
Last Update Date
06-16-2009
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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 Clinic Pharmacy

Taxonomy Code
3336C0002X
Type
Suppliers
Taxonomy Description
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

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

 

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

MR. KERMIT R CRAWFORD

Authorized Official Title
SR. VICE PRESIDENT
Authorized Official Phone
(847) 914-3154

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
33D2293949
Facility Type
Pharmacy
Certificate Effective Date
November 16, 2023
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. ZEIAD A. FAKHOURI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walgreen Eastern Co #13775 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285861336, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 8 → 16 → 7 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 1 + 6 + 6 + 2 + 3 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1285861336.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physician Assistant
850 3RD AVE, 8TH FLOOR
NEW YORK, NY 10022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285861336, enumerated as an "organization" on June 16, 2009.

The provider is located at 850 3RD AVE NEW YORK, NY 10022 and the phone number is (516) 352-8548.

Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.