WALGREENS
NPI 1568742211
Health Maintenance Organization in Fairview Heights, IL

Active since August 25, 2011CLIA 14D2015185 · Waiver
6505 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208(618) 394-8744(618) 394-1026 Get Directions Write a Review

NPPES record last updated: August 25, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Walgreens NPPES

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

WALGREENS (NPI 1568742211) is a healthcare organization registered as a health maintenance organization in Fairview Heights, Illinois and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Dorthy J Evans, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1568742211
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameWALGREENS
Location Address6505 N ILLINOIS STFairview Heights, IL 62208-2001
Mailing Address6505 N Illinois StFairview Heights, IL 62208-2001 · (618) 394-8744 · Fax (618) 394-1026
Fax(618) 394-1026
Organization SubpartNo
Authorized OfficialDorthy J EvansPharmacist · (618) 394-8744
Enumeration DateAugust 25, 2011
✔ NPI 1568742211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
License✔ Licensed in IL · 051-036497
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
6505 N ILLINOIS ST, Fairview Heights, IL 62208

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 14D2015185

Walgreens #04832 · Fairview Heights, IL
Active · expires Oct 27, 2027
CLIA Number14D2015185
Laboratory TypePharmacy
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorKelly A. Odum
Laboratory Phone(618) 394-8744
Laboratory LocationWalgreens #048326505 N Illinois St, Fairview Heights, IL 62208
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #4832 carries, from the Medicare DMEPOS supplier directory.

Walgreens #4832

DMEPOS supplier · Fairview Heights, ILOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #4832 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20398457
Medicare Participant SinceMarch 1, 2022
Supplier Location6505 N Illinois StFairview Heights, IL 62208
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 15

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

Pharmacist
6505 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208
Pharmacist
6505 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208
Nurse Practitioner
6505 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208
Nurse Practitioner
6505 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208
Pharmacist
6505 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208
Pharmacist
6505 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208
Pharmacist
6505 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208
Pharmacist
6505 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walgreens's NPI number?

The NPI number for Walgreens is 1568742211. It was assigned to this organization in the NPPES registry on August 25, 2011.

Where is Walgreens located?

Walgreens is located at 6505 N Illinois St, Fairview Heights, IL 62208. The listed phone number is (618) 394-8744.

What is Walgreens's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

Does Walgreens accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #4832 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreens hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2015185) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walgreens was last updated on August 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.