WALGREENS #06033 (WALGREEN CO) NPI 1538174891

Pharmacy in Bessemer, AL

NPI 1538174891 Organization Pharmacy CLIA Number 01D2219502 CLIA Certificate of Waiver

NPI Profile for WALGREENS #06033 (WALGREEN CO)

Walgreens #06033 (walgreen Co) is a provider established in Bessemer, Alabama specializing in pharmacy. The NPI number of Walgreens #06033 (walgreen Co) is 1538174891 and was assigned on July 2006. The practitioner's primary taxonomy code is 333600000X with license number 111816 (AL). The provider is registered as an organization and their NPI record was last updated May 2022. The provider's is doing business as Walgreens #06033. The authorized official of this NPI record is Kira L Taylor (Manager)

The CLIA number of Walgreens #06033 is 01D2219502 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Walgreens #06033 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.

NPI

1538174891

Provider NameWALGREENS #06033 (WALGREEN CO)
Provider Location Address1815 9TH AVE N BESSEMER, AL 35020
Provider Mailing Address1901 E VOORHEES ST MS 790 DANVILLE, IL 61834
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameWALGREENS #06033
Other Name TypeDoing Business As (3)
Enumeration Date07-29-2006
Last Update Date05-03-2022


Primary Taxonomy

Taxonomy Code333600000X
ClassificationPharmacy
TypeSuppliers
License No.111816
License StateAL
Taxonomy DescriptionA 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.

Business Address

WALGREENS #06033
1815 9TH AVE N
BESSEMER, AL
ZIP 35020
Phone: (205) 425-1757
Fax: (205) 425-8103

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Mailing Address

WALGREENS #06033
1901 E VOORHEES ST
MS 790
DANVILLE, IL
ZIP 61834
Phone: (217) 709-2351
Fax: (217) 709-2344



Authorized Official

Authorized Official Name KIRA L TAYLOR
Authorized Official TitleMANAGER
Authorized Official Phone(217) 709-2351

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 the NPI number 1538174891 is:

CLIA Number01D2219502
Facility TypePHARMACY
Certificate TypeCertificate of Waiver

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

23336C0003XSuppliersPharmacyCommunity/Retail PharmacyNo

Taxonomy Description: a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0130132OTHER (01)OTHER ID NUMBER-COMMERCIAL NUMBER
100003197MEDICAID (05)AL

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1538174891
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2568278818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 2 + 7 + 8 + 8 + 1 + 8 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 11

The NPI number 1538174891 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063796720DR. PAULINE KENNARD LONG PHARMD
Individual
Pharmacist1815 9TH AVE N
BESSEMER, AL 35020
(205) 425-1757
1689941882WALGREENS
Organization
Home Health1815 9TH AVE N
BESSEMER, AL 35020
(205) 425-1757
1366719973DR. DEREK RYAN DEAN PHARMD
Individual
Pharmacist1815 9TH AVE N
BESSEMER, AL 35020
(205) 425-1757
1356611123MRS. LORI WILLIAMSON CROWE B.S.
Individual
Pharmacist1815 9TH AVE N
BESSEMER, AL 35020
(205) 425-1757
1982979811MR. MATTHEW ASHMORE
Individual
Pharmacy Technician1815 9TH AVE N
BESSEMER, AL 35020
(205) 425-1757
1508486051DR. RICHARD WESLEY WILKERSON JR. PHARMD
Individual
Pharmacy1815 9TH AVE N
BESSEMER, AL 35020
(205) 502-6155

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Walgreens #06033 is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.