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WALGREENS #10117
NPI 1700983905
Pharmacy - Community/Retail Pharmacy in Golden, CO

Active since September 20, 2006CLIA 06D2059108 · Waiver
17222 S GOLDEN RD, GOLDEN, CO 80401(303) 457-5823(303) 457-5826 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2023, Mar 2, 2022, Jan 11, 2019 and 1 more (4 updates tracked since 2015).

About Walgreens #10117 NPPES

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

WALGREENS #10117 (NPI 1700983905) is a healthcare organization registered as a community/retail pharmacy in Golden, Colorado and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through February 24, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1700983905
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREEN CO
Location Address17222 S GOLDEN RDGolden, CO 80401-2606
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(303) 457-5823
Fax(303) 457-5826
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 30, 20234 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1700983905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X · License 654 (CO)
17222 S GOLDEN RD, Golden, CO 80401
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Other Names 1

Doing Business AsWalgreens #10117

Other Identifiers 2

Other0620004Ncpdp
Medicaid36027871CO

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 06D2059108

Walgreens #10117 · Golden, CO
Active · expires Feb 24, 2027
CLIA Number06D2059108
Laboratory TypePharmacy
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorLeanne A. Mori
Laboratory Phone(303) 457-5823
Laboratory LocationWalgreens #1011717222 S Golden Rd, Golden, CO 80401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
90 services90 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
49 services49 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
28 services28 patients

Other Providers at the Same Location NPPES 4

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

CHLOE BASKOWITZ PHARMD
Pharmacist
17222 S GOLDEN RD
GOLDEN, CO 80401
Jefferson County (303) 457-5823
DR. NATHAN LYLE ADAMS PHARMD
Pharmacist
17222 S GOLDEN RD
GOLDEN, CO 80401
Jefferson County (303) 457-5823
JAMES LEANO RPH
Pharmacist
17222 S GOLDEN RD
GOLDEN, CO 80401
Jefferson County (303) 457-5823
WALGREEN CO.
Clinical Medical Laboratory
17222 S GOLDEN RD
GOLDEN, CO 80401
Jefferson County (303) 457-5823

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 1700983905. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Walgreens #10117.

Where is Walgreen Co located?

Walgreen Co is located at 17222 S Golden Rd, Golden, CO 80401. The listed phone number is (303) 457-5823.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2059108) is associated with this NPI, valid through February 24, 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 October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.