WALGREENS PHARMACY - NPI 1366824351 - Department of Veterans Affairs (VA) Pharmacy in Bridgeton, MO

Q: What is Walgreens Pharmacy's NPI number?

The NPI number for Walgreens Pharmacy is 1366824351. It was assigned to this organization in the NPPES registry on June 25, 2015.

Q: What is Walgreens Pharmacy's specialty?

The primary specialty registered for this NPI is Department of Veterans Affairs (VA) Pharmacy with taxonomy code 332100000X.

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About Walgreens Pharmacy NPPES

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

WALGREENS PHARMACY (NPI 1366824351) is a healthcare organization registered as a department of veterans affairs (va) pharmacy in Bridgeton, Missouri and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Angela Johnson, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1366824351

Entity TypeOrganization

Primary Taxonomy332100000X

Legal Business NameWALGREENS PHARMACY

Location Address12345 SAINT CHARLES ROCK RDBridgeton, MO 63044-2505

Mailing Address12345 Saint Charles Rock RdBridgeton, MO 63044-2505 · (314) 770-2479

Phone(314) 770-2479

Organization SubpartNo

Authorized OfficialAngela JohnsonPharmacy Manager · (314) 770-2479

Enumeration DateJune 25, 2015

✔ NPI 1366824351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDepartment of Veterans Affairs (VA) PharmacySuppliers

Taxonomy Code332100000X

Definition

Department of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital's DEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based Outpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory licensed pharmacist, and has staffing to meet its designated scope of service.

12345 SAINT CHARLES ROCK RD, Bridgeton, MO 63044

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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 26D2012987

Walgreens #02501 · Bridgeton, MO

Active · expires Jun 3, 2027

CLIA Number26D2012987

Laboratory TypePharmacy

Certificate Effective DateJune 4, 2025

Certificate Expiration DateJune 3, 2027

Laboratory DirectorJames A. Staley

Laboratory Phone(314) 770-2479

Laboratory LocationWalgreens #0250112345 St Charles Rock Rd, Bridgeton, MO 63044

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

MATTHEW KAHLE

Pharmacist