WALGREENS #12483
NPI 1356589469
Pharmacy in Nampa, ID

Active since January 27, 2009CLIA 13D2033648 · Waiver
932 CALDWELL BLVD, NAMPA, ID 83651(208) 318-0018(208) 318-0032 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 4, 2022, Jun 13, 2016, Jan 13, 2016 (3 updates tracked since 2016).

About Walgreens #12483 NPPES

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

WALGREENS #12483 (NPI 1356589469) is a healthcare organization registered as a pharmacy in Nampa, Idaho and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through April 7, 2027 and lists Kira Taylor, Manager, as its authorized official.Information from the official NPPES registry record, last updated April 4, 2022.

NPPES Registry Identity

NPI1356589469
Entity TypeOrganization
Legal Business NameWALGREEN CO
Location Address932 CALDWELL BLVDNampa, ID 83651-1711
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(208) 318-0032
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJanuary 27, 2009
Last NPPES UpdateApril 4, 20223 updates tracked since enumeration
NPPES CertifiedApril 4, 2022
NPI 1356589469 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Pharmacy

Taxonomy 333600000X · Suppliers

Licensed in ID · 38577RP

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a… Show more

Also Listed

Pharmacy · Community/Retail Pharmacy

Taxonomy 3336C0003X · Suppliers

932 CALDWELL BLVD, Nampa, ID 83651

Also on File with NPPES

Other Names1
Walgreens #12483 (Doing Business As)
Other Identifiers2
808324200 (Medicaid, ID)
1308104 (Other, Ncpdp)

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 63 times for 63 patients

Influenza vaccine split virus, preservative free

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

This service was performed 37 times for 37 patients

Influenza vaccine, inactivated

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

This service was performed 22 times for 22 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20386433
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

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
13D2033648
Facility Type
Pharmacy
Certificate Effective Date
April 08, 2025
Certificate Expiration Date
April 07, 2027
Laboratory Director
PAUL R. THOMAS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walgreens #12483 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.

Reviews for WALGREENS #12483

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Pharmacist
932 CALDWELL BLVD
NAMPA, ID 83651
Pharmacist
932 CALDWELL BLVD
NAMPA, ID 83651
Pharmacist
932 CALDWELL BLVD
NAMPA, ID 83651
Pharmacist
932 CALDWELL BLVD
NAMPA, ID 83651
Pharmacist
932 CALDWELL BLVD
NAMPA, ID 83651
Pharmacist
932 CALDWELL BLVD
NAMPA, ID 83651
Pharmacist
932 CALDWELL BLVD
NAMPA, ID 83651

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356589469, enumerated as an "organization" on January 27, 2009.

The provider is located at 932 CALDWELL BLVD NAMPA, ID 83651 and the phone number is (208) 318-0018.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.