WALGREENS #15545 (WALGREEN CO) NPI 1811323769

Pharmacy in Owens Cross Roads, AL

NPI 1811323769 Organization Pharmacy Medicare Supplier Does Not Accept Medicare Approved Payment

About WALGREENS #15545 (WALGREEN CO)

Walgreens #15545 (walgreen Co) is a provider established in Owens Cross Roads, Alabama specializing in pharmacy. The NPI number of Walgreens #15545 (walgreen Co) is 1811323769 and was assigned on September 2013. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Walgreens #15545. The authorized official of this NPI record is Alan T Nielsen (Treasurer)

Walgreens #15545 is a medicare supplier with PTAN 0282938555 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Immunosuppressive Drugs or Epoetin or Nebulizer Drugs or Infusion Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).

NPI

1811323769

Provider NameWALGREENS #15545 (WALGREEN CO)
Provider Location Address274 SUTTON RD SE OWENS CROSS ROADS, AL 35763
Provider Mailing Address1901 E VOORHEES ST MS 790 DANVILLE, IL 61834
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameWALGREENS #15545
Other Name TypeDoing Business As (3)
Enumeration Date09-24-2013
Last Update Date01-15-2016


Primary Taxonomy

Taxonomy Code333600000X
ClassificationPharmacy
TypeSuppliers
Taxonomy DescriptionA 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.

Business Address

WALGREENS #15545
274 SUTTON RD SE
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 533-8982

Get Directions


Mailing Address

WALGREENS #15545
1901 E VOORHEES ST
MS 790
DANVILLE, IL
ZIP 61834
Phone: (217) 709-2386
Fax: (217) 709-2344



Authorized Official

Authorized Official Name ALAN T NIELSEN
Authorized Official TitleTREASURER
Authorized Official Phone(847) 315-3523

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN0282938555
Accepts Medicare AssignmentNO
Specialities ListPharmacy.
Supplies List
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Infusion Drugs -
  • 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
Competitive BiddingNO

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

23336C0003XSuppliersPharmacyCommunity/Retail PharmacyNo

Taxonomy Description: 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0139130OTHER (01)
PHC049MEDICARE PIN (08)
P00400633MEDICARE PIN (08)
0282938555MEDICARE NSC (07)

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730521139 STEVE ALAN GRANT JR. PHARM. D.
Individual
Pharmacist274 SUTTON RD SE
OWENS CROSS ROADS, AL 35763
(256) 533-8982
1851776470 AUSTIN PIFHER PHARMD
Individual
Pharmacist274 SUTTON RD SE
OWENS CROSS ROADS, AL 35763
(256) 533-8982
1427727114 KARLA JACOBS MINOR RPH
Individual
Pharmacist274 SUTTON RD SE
OWENS CROSS ROADS, AL 35763
(256) 533-8982

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.