WALGREENS #17810
NPI 1407379514
Pharmacy in Louisville, KY
- Organization
- Pharmacy
- Accepts Insurance
- CLIA Number: 18D2011086
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 04-21-2027
About WALGREENS #17810
This page provides the complete NPI Profile along with additional information for Walgreens #17810, a provider established in Louisville, Kentucky operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1407379514 assigned on July 2017. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Walgreens #17810. The authorized official of this NPI record is Kira Taylor (Manager)
- NPI
- 1407379514 Verify this NPI
- Provider Legal Name
- WALGREEN CO
- Other Organization Name
- WALGREENS #17810
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7500 TERRY RD LOUISVILLE, KY 40258
- Location Phone
- (502) 935-6230
- Location Fax
- (502) 933-4866
- Mailing Address
- 1901 E VOORHEES ST MS 790 DANVILLE, IL 61834
- Mailing Phone
- (217) 709-2351
- Mailing Fax
- (217) 709-2344
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-20-2017
- Last Update Date
- 05-16-2022
- Code Navigator
Location Map
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
- 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) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 2 | 3336C0003X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 8000 - 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 Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - 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.
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 |
|---|---|---|---|
| 7100507520 | MEDICAID (05) | KY | |
| PO7926 | OTHER (01) | KY | BOARD OF PHARMACY |
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
- 18D2011086
- Facility Type
- Pharmacy
- Certificate Effective Date
- April 22, 2025
- Certificate Expiration Date
- April 21, 2027
- Laboratory Director
- MR. BRANDEN SIMPSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Walgreens #17810 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 #17810
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407379514, enumerated as an "organization" on July 20, 2017.
The provider is located at 7500 TERRY RD LOUISVILLE, KY 40258 and the phone number is (502) 935-6230.
Pharmacy with taxonomy code 333600000X.
The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
