WALGREENS
NPI 1750650925
Preferred Provider Organization in Fairlawn, OH

NPI Status: Active since December 18, 2011

Contact Information

3009 W MARKET ST
FAIRLAWN, OH
ZIP 44333
Phone: (330) 867-1946

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  • Organization
  • Preferred Provider Organization
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 36D2011778
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 05-16-2027

About WALGREENS

This page provides the complete NPI Profile along with additional information for Walgreens, a provider established in Fairlawn, Ohio operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1750650925 assigned on December 2011. The practitioner's primary taxonomy code is 305R00000X with license number 03321689 (OH). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Anne M Beyman (R.pn)

NPI
1750650925
Provider Name
WALGREENS
Entity Type
Organization
Location Address
3009 W MARKET ST FAIRLAWN, OH 44333
Location Phone
(330) 867-1946
Mailing Address
3009 W MARKET ST FAIRLAWN, OH 44333
Mailing Phone
(330) 867-1946
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-18-2011
Last Update Date
12-18-2011
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Walgreens is a medicare supplier with PTAN 20375753 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).

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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
03321689
License State
OH
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANNE M BEYMAN

Authorized Official Title
R.PN
Authorized Official Phone
(330) 867-1946

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20375753
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

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 this NPI number is:

CLIA Number
36D2011778
Facility Type
Pharmacy
Certificate Effective Date
May 17, 2025
Certificate Expiration Date
May 16, 2027
Laboratory Director
LUCAS A. MITZEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walgreens 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1750650925, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 0 + 0 + 1 + 2 + 5 + 0 + 9 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1750650925.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Pharmacist
3009 W MARKET ST
FAIRLAWN, OH 44333
Pharmacist
3009 W MARKET ST
FAIRLAWN, OH 44333
Pharmacist
3009 W MARKET ST
FAIRLAWN, OH 44333
Pharmacist
3009 W MARKET ST
FAIRLAWN, OH 44333
Pharmacist
3009 W MARKET ST
FAIRLAWN, OH 44333
Pharmacist
3009 W MARKET ST
FAIRLAWN, OH 44333
Pharmacist
3009 W MARKET ST
FAIRLAWN, OH 44333
Pharmacy
3009 W MARKET ST
FAIRLAWN, OH 44333

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750650925, enumerated as an "organization" on December 18, 2011.

The provider is located at 3009 W MARKET ST FAIRLAWN, OH 44333 and the phone number is (330) 867-1946.

Preferred Provider Organization with taxonomy code 305R00000X.