WALGREENS PHARMACY #12427
NPI 1770868457
Clinic/Center in Springfield, IL
NPI Status: Active since October 13, 2011
Contact Information
2305 W MONROE
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 546-9558
- Organization
- Clinic/Center
- CLIA Number: 14D1094717
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 04-15-2027
About WALGREENS PHARMACY #12427
This page provides the complete NPI Profile along with additional information for Walgreens Pharmacy #12427, a provider established in Springfield, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1770868457 assigned on October 2011. The practitioner's primary taxonomy code is 261Q00000X with license number 051-031981 (IL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Ryan Bouchard R.ph (Manager)
- NPI
- 1770868457
- Provider Name
- WALGREENS PHARMACY #12427
- Entity Type
- Organization
- Location Address
- 2305 W MONROE SPRINGFIELD, IL 62704
- Location Phone
- (217) 546-9558
- Mailing Address
- 2305 W MONROE SPRINGFIELD, IL 62704
- Mailing Phone
- (217) 546-9558
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-13-2011
- Last Update Date
- 10-13-2011
- Code Navigator
Location Map
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 051-031981
- License State
- IL
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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
- 14D1094717
- Facility Type
- Pharmacy
- Certificate Effective Date
- April 16, 2025
- Certificate Expiration Date
- April 15, 2027
- Laboratory Director
- DIANE HAGEMANN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Walgreens Pharmacy #12427 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 1770868457, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770868457, enumerated as an "organization" on October 13, 2011.
The provider is located at 2305 W MONROE SPRINGFIELD, IL 62704 and the phone number is (217) 546-9558.
Clinic/Center with taxonomy code 261Q00000X.
