WALGREENS #13034
NPI 1508092040
Pharmacy in Pineville, KY
- Organization
- Pharmacy
- Medicare Supplier
- Accepts Medicare Approved Payment
About WALGREENS #13034
This page provides the complete NPI Profile along with additional information for Walgreens #13034, a provider established in Pineville, Kentucky operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1508092040 assigned on June 2009. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Walgreens #13034. The authorized official of this NPI record is Mr. Kermit R Crawford (Senior Vice President)
- NPI
- 1508092040 Verify this NPI
- Provider Legal Name
- WALGREEN CO.
- Other Organization Name
- WALGREENS #13034
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 528 W TENNESSEE AVE. PINEVILLE, KY 40977
- Location Phone
- (865) 769-1790
- Mailing Address
- 1901 E VOORHEES ST MS 790 DANVILLE, IL 61834
- Mailing Phone
- (217) 554-8786
- Mailing Fax
- (217) 554-8546
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-10-2009
- Last Update Date
- 06-10-2009
- Code Navigator
Walgreens #13034 is a medicare supplier with PTAN 20370701 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).
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 |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20370701
- 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
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508092040, enumerated as an "organization" on June 10, 2009.
The provider is located at 528 W TENNESSEE AVE. PINEVILLE, KY 40977 and the phone number is (865) 769-1790.
Pharmacy with taxonomy code 333600000X.
