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WALGREENS #09067
NPI 1619982519
Pharmacy in Farmington, NM

Active since July 29, 2006CLIA 32D2011514 · Waiver
701 E 20TH ST, FARMINGTON, NM 87401(505) 326-3342 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2022, Oct 24, 2021, Jul 1, 2016 and 1 more (4 updates tracked since 2016).

About Walgreens #09067 NPPES

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

WALGREENS #09067 (NPI 1619982519) is a healthcare organization registered as a pharmacy in Farmington, New Mexico and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 9, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1619982519
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address701 E 20TH STFarmington, NM 87401-4204
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(505) 326-3342
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 29, 2006
Last NPPES UpdateJune 9, 20224 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
✔ NPI 1619982519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NM · PH000003957
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
701 E 20TH ST, Farmington, NM 87401
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Other Names 1

Doing Business AsWalgreens #09067

Other Identifiers 2

Medicaid81707NM
Other3208457Other Id Number-commercial Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

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 32D2011514

Walgreens #09067 · Farmington, NM
Active · expires Aug 9, 2027
CLIA Number32D2011514
Laboratory TypePharmacy
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorManuel D. Saenz
Laboratory Phone(505) 326-3342
Laboratory LocationWalgreens #09067701 E 20th St, Farmington, NM 87401
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 #9067 carries, from the Medicare DMEPOS supplier directory.

Walgreens #9067

DMEPOS supplier · Farmington, NMOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #9067 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)20395709
Medicare Participant SinceMarch 1, 2022
Supplier Location701 E 20th StFarmington, NM 87401
Phone(505) 326-3342
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 6

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

JAIME WEISS PHARM D
Pharmacist
701 E 20TH ST
FARMINGTON, NM 87401
San Juan County (505) 326-3342
DR. CLAUD EVANS DUNLAP III
Pharmacist
701 E 20TH ST
FARMINGTON, NM 87401
San Juan County (505) 326-3342
DEVIN JACK SIGNS PHARMD
Pharmacist
701 E 20TH ST
FARMINGTON, NM 87401
San Juan County (505) 326-3342
CELESTE SELPH REGISTERED PHARMACIS
Pharmacist
701 E 20TH ST
FARMINGTON, NM 87401
San Juan County (505) 326-3342
DR. MICHAEL CHANTZ EYRING PHARMD
Pharmacist
701 E 20TH ST
FARMINGTON, NM 87401
San Juan County (505) 326-3342
DR. JOSHUA MARK CHRISTENSEN PHARMD
Pharmacist
701 E 20TH ST
FARMINGTON, NM 87401
San Juan County (505) 326-3342

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 Walgreen Co.'s NPI number?

The NPI number for Walgreen Co. is 1619982519. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #09067.

Where is Walgreen Co. located?

Walgreen Co. is located at 701 E 20th St, Farmington, NM 87401. The listed phone number is (505) 326-3342.

What is Walgreen Co.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Walgreen Co. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #9067 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2011514) is associated with this NPI, valid through August 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walgreen Co. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 39 other insurers list Walgreen Co. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walgreen Co. was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.