WALGREENS #17268
NPI 1396262259
Pharmacy in Hazel Green, AL

NPI Status: Active since August 23, 2017

Contact Information

14731 HWY 231 431 N
UNIT A
HAZEL GREEN, AL
ZIP 35750
Phone: (256) 829-6032
Fax: (256) 829-6033

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  • Organization
  • Pharmacy
  • CLIA Number: 01D2219059
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 03-31-2025

About WALGREENS #17268

Walgreens #17268 is a provider established in Hazel Green, Alabama operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1396262259 assigned on August 2017. The practitioner's primary taxonomy code is 333600000X with license number 111302 (AL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Walgreens #17268. The authorized official of this NPI record is Kira Taylor (Manager)

NPI
1396262259
Provider Legal Name
WALGREEN CO
Other Organization Name
WALGREENS #17268
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
14731 HWY 231 431 N UNIT A HAZEL GREEN, AL 35750
Location Phone
(256) 829-6032
Location Fax
(256) 829-6033
Mailing Address
1901 E VOORHEES ST MS 790 DANVILLE, IL 61834
Mailing Phone
(217) 709-2351
Mailing Fax
(256) 829-6033
Is Sole Proprietor?
N/A
Is Organization Subpart?
Yes
Enumeration Date
08-23-2017
Last Update Date
05-11-2022
Code Navigator

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.
111302
License State
AL
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:

  • Aetna CVS Health

    • Bronze 2 HSA: Aetna network of doctors & hospitals + walk-in clinic + Virtual Care 24/7 - HMO
    • Bronze 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Bronze 4: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
    • Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Bronze S: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
  • Ambetter from Absolute Total Care

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
  • Ambetter from Arkansas Health & Wellness

    • Choice Bronze HSA (QualChoice) - POS
    • Complete Gold - PPO
    • Complete Gold + Vision + Adult Dental - PPO
    • Complete Silver - PPO
    • Complete Silver + Vision + Adult Dental - PPO
  • Ambetter from Buckeye Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
  • Ambetter from Home State Health

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
  • Ambetter from Louisiana Healthcare Connections

    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
  • Ambetter from Magnolia Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA with Walgreens - HMO
    • Choice Bronze HSA with Walgreens + Vision + Adult Dental - HMO
  • Ambetter from Meridian

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Ambetter from Nebraska Total Care

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
  • Ambetter from NH Healthy Families

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
  • Ambetter from Peach State Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Bronze - HMO
    • Clear Bronze + Vision + Adult Dental - HMO
    • Clear Gold - HMO
  • Ambetter from Sunflower Health Plan

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • Ambetter from Sunshine Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Ambetter Health of Delaware

    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • Ambetter of Alabama

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
  • Ambetter of Illinois

    • Central Bronze - HMO
    • Central Bronze + Vision + Adult Dental - HMO
    • Central Gold - HMO
    • Central Gold + Vision + Adult Dental - HMO
    • Central Silver - HMO
  • Ambetter of North Carolina

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Ambetter of Oklahoma

    • Clear Gold - PPO
    • Clear Gold + Vision + Adult Dental - PPO
    • Clear Silver - PPO
    • Clear Silver + Vision + Adult Dental - PPO
    • Complete Silver - PPO
  • Ambetter of Tennessee

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • Avera Health Plans

    • Avera $1800 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $2000 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $4000 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $5200 HSA Eigible HDHP - PPO
    • Avera $5200 HSA Eligilble HDHP - PPO
  • AvMed

    • AvMed Entrust Bronze 600 (2024) - HMO
    • AvMed Entrust Bronze 625 Dental+Vision (2024) - HMO
    • AvMed Entrust Bronze 650 (2024) - HMO
    • AvMed Entrust Expanded Bronze Standard (2024) - HMO
    • AvMed Entrust Gold 125 (2024) - HMO
  • Baylor Scott and White Health Plan

    • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
    • BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
    • BSW Elite Gold HMO 012 ($0 PCP unlimited visits) - HMO
    • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
    • BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
  • Blue Cross and Blue Shield of Alabama

    • Blue HSA Bronze - PPO
    • Blue Protect - PPO
    • Blue Saver Bronze - PPO
    • Blue Value Gold - PPO
    • Blue Value Silver - PPO
  • Blue Cross and Blue Shield of Illinois

    • Blue Choice Preferred Bronze PPO℠ 201 - PPO
    • Blue Choice Preferred Bronze PPO℠ 202 - PPO
    • Blue Choice Preferred Bronze PPO℠ 601 - Rx Copays - PPO
    • Blue Choice Preferred Bronze PPO℠ 701 - Rx Copays - PPO
    • Blue Choice Preferred Bronze PPO℠ 708 - PPO
  • Blue Cross and Blue Shield of Kansas City

    • Blue KC Catastrophic BlueSelect EPO - EPO
    • Blue KC Choice Bronze 1 BlueSelect EPO with Spira Care - EPO
    • Blue KC Choice Bronze 2 BlueSelect EPO with Spira Care - EPO
    • Blue KC Choice Bronze BlueSelect Plus EPO with Spira Care - EPO
    • Blue KC Choice Silver 1 BlueSelect EPO with Spira Care - EPO
  • Blue Cross and Blue Shield of Montana

    • Blue Focus Bronze POS℠ 205 - POS
    • Blue Focus Bronze POS℠ 705 - POS
    • Blue Focus Bronze POS℠ 708 - POS
    • Blue Focus Gold POS℠ 207 - POS
    • Blue Focus Gold POS℠ 707 - POS
  • Blue Cross and Blue Shield of Nebraska

    • HeartlandBlue Bronze 0% Coinsurance After Deductible 9450 NEtwork Blue - EPO
    • HeartlandBlue Bronze HSA 6500 Blueprint Health - EPO
    • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
    • HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice - EPO
    • HeartlandBlue Bronze Standard Copay 7500 Blueprint Health - EPO
  • Blue Cross and Blue Shield of Oklahoma

    • Blue Advantage Bronze PPO℠ 801 - PPO
    • Blue Advantage Bronze PPO℠ 202 - PPO
    • Blue Advantage Bronze PPO℠ 203 - PPO
    • Blue Advantage Gold PPO℠ 309 - PPO
    • Blue Advantage Gold PPO℠ 604 - PPO
  • Blue Cross Blue Shield of North Dakota

    • BlueCare Gold 70 - PPO
    • BlueCare Silver 60 - PPO
    • BlueDirect Bronze 100 - PPO
    • BlueDirect Gold 90 - PPO
    • BlueDirect Silver 80 - PPO
  • Blue Cross Blue Shield of Wyoming

    • BlueSelect Bronze Balance - PPO
    • BlueSelect Bronze Basic - PPO
    • BlueSelect Bronze Core - PPO
    • BlueSelect Bronze Value - PPO
    • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • Chorus Community Health Plans

    • Chorus Bronze Copay - EPO
    • Chorus Bronze HDHP - EPO
    • Chorus Catastrophic - EPO
    • Chorus Clear Bronze - EPO
    • Chorus Core Bronze - EPO
  • Common Ground Healthcare Cooperative

    • CGHC Bronze $6000 - Envision Network - EPO
    • CGHC Bronze $6000 - Envision Network (Vision Exam) - EPO
    • CGHC Bronze $9450 ($35 PCP Copay) - Envision Network - EPO
    • CGHC Bronze $9450 ($35 PCP Copay) - Envision Network (Vision Exam) - EPO
    • CGHC Bronze Standard $7500 - Envision Network - EPO
  • Florida Blue (BlueCross BlueShield FL)

    • BlueOptions Bronze (HSA) 24J01-10 (Rewards $$$ / $4 Condition Care Rx) - PPO
    • BlueOptions Bronze 24J01-04 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-06 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-17 ($0 Virtual Visits / $50 PCP Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards $$$) - PPO
  • Florida Blue HMO (a BlueCross BlueShield FL company)

    • BlueCare Bronze (HSA) 24K01-09 (Rewards $$$ / $4 Condition Care Rx) - POS
    • BlueCare Bronze 24K01-03 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - POS
    • BlueCare Bronze 24K01-05 ($0 Virtual Visits / Rewards $$$) - POS
    • BlueCare Bronze 24K01-25 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) - POS
    • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards $$$) - POS
  • HealthPartners

    • Atlas $1,000 w/Copay P-S Gold - PPO
    • Atlas $1,500 w/Copay P-S Gold - PPO
    • Atlas $3,000 w/Copay P-S Silver - PPO
    • Atlas $3,200 Plus Silver - PPO
    • Atlas $3,800 HSA Silver - PPO
  • Highmark Blue Cross Blue Shield Delaware

    • my Blue Access Major Events PPO Catastrophic 9450 - 3 Free PCP Visits - PPO
    • my Blue Access PPO Bronze 3800 - PPO
    • my Blue Access PPO Bronze 3800 + Adult Dental and Vision - PPO
    • my Blue Access PPO Bronze 7100 HSA - Custom Drug Benefit - PPO
    • my Blue Access PPO Bronze 8900 - PPO
  • Highmark Blue Cross Blue Shield West Virginia

    • my Blue Access WV Major Events PPO Catastrophic 9450 - 3 Free PCP Visits - PPO
    • my Blue Access WV PPO Bronze 3800 - PPO
    • my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
    • my Blue Access WV PPO Bronze 7100 HSA - Custom Drug Benefit - PPO
    • my Blue Access WV PPO Bronze 8900 - PPO
  • Humana

    • Humana Dental Smart Choice - PPO
    • Humana Dental Smart Choice - High - PPO
    • Humana Dental Smart Choice - Lite - PPO
    • Humana Dental Smart Choice - Low - PPO
  • Medica

    • Balance by Medica Bronze Copay $0 PCP - EPO
    • Balance by Medica Bronze Premier - EPO
    • Balance by Medica Bronze Share Plus - EPO
    • Balance by Medica Bronze Standard - EPO
    • Balance by Medica Catastrophic - EPO
  • MedMutual

    • Market HMO 2500 - HMO
    • Market HMO 3850 - HMO
    • Market HMO 4000 HSA - HMO
    • Market HMO 6900 - HMO
    • Market HMO 7300 HSA - HMO
  • Moda Health Plan, Inc.

    • Moda Health Affinity Bronze 7750 - EPO
    • Moda Health Affinity Bronze 9000 - EPO
    • Moda Health Affinity Bronze HSA 7500 - EPO
    • Moda Health Affinity Gold 1000 - EPO
    • Moda Health Affinity Gold 250 - EPO
  • Moda Health, Inc.

    • Moda Select Bronze 8700 ($0 Virtual Care) - EPO
    • Moda Select Bronze HSA 7500 - EPO
    • Moda Select Gold 1000 ($0 Virtual Care) - EPO
    • Moda Select Gold 1800 ($0 Virtual Care) - EPO
    • Moda Select Silver 3500 ($0 Virtual Care) - EPO
  • Primewell Health Services of Mississippi

    • Essential Bronze 6500 - POS
    • Essential Gold 1500 - POS
    • Freedom Silver 4000 - POS
    • Savings Bronze 5500 - POS
    • Savings Bronze 7400 - POS
  • Priority Health

    • MyPriority Balanced Silver - HMO
    • MyPriority Balanced Silver Bronson Healthcare Partners - HMO
    • MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
    • MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
    • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Insulin) - HMO
    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) - EPO
    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • Medicare

  • Medicaid


*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
0142492OTHER (01)ALNCPDP
212271MEDICAID (05)AL 

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
01D2219059
Facility Type
Pharmacy
Certificate Effective Date
April 01, 2023
Certificate Expiration Date
March 31, 2025
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walgreens #17268 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 #17268

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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.
1396262259
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186464210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 4 + 6 + 4 + 2 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1396262259 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396262259, enumerated in the NPI registry as an "organization" on August 23, 2017

The provider is located at 14731 Hwy 231 431 N Unit A Hazel Green, Al 35750 and the phone number is (256) 829-6032

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Absolute Total. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 01D2219059 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on August 23, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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