WALGREENS #09765
NPI 1841485141
Pharmacy in Pasco, WA

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1841485141. It was assigned to this organization in the NPPES registry on September 10, 2007. The provider is doing business as Walgreens #09765.

Q: What is Walgreen Co's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on October 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 10, 2007CLIA 50D2038464 · Waiver

5506 N ROAD 68, PASCO, WA 99301(509) 547-1789(509) 547-9263 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 30, 2023, Feb 24, 2022, May 10, 2018 and 2 more (5 updates tracked since 2015).

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About Walgreens #09765 NPPES

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

WALGREENS #09765 (NPI 1841485141) is a healthcare organization registered as a pharmacy in Pasco, Washington and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1841485141

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address5506 N ROAD 68Pasco, WA 99301-9627

Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(509) 547-1789

Fax(509) 547-9263

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira TaylorManager · (217) 709-2351

Enumeration DateSeptember 10, 2007

Last NPPES UpdateOctober 30, 20235 updates tracked since enumeration

NPPES CertifiedOctober 30, 2023

✔ NPI 1841485141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in WA · CF00059213

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

5506 N ROAD 68, Pasco, WA 99301

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Other Names 1

Doing Business AsWalgreens #09765

Other Identifiers 2

Other4932631Ncpdp

Medicaid6031330WA

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 50D2038464

Walgreens #09765 · Pasco, WA

Active · expires Apr 4, 2028

CLIA Number50D2038464

Laboratory TypePharmacy

Certificate Effective DateDecember 15, 2020

Certificate Expiration DateApril 4, 2028

Laboratory DirectorEric W. Wigmosta

Laboratory Phone(509) 547-1789

Laboratory LocationWalgreens #097655506 N Road 68, Pasco, WA 99301

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 5

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.

590 services586 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.

368 services365 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.

201 services201 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

58 services58 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

52 services52 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · Pasco, WA

✔

Accepts Medicare assignment

Walgreen Co 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)20375765

Medicare Participant SinceMarch 1, 2022

Supplier Location5506 Rd 68Pasco, WA 99301

Phone(509) 547-1789

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.

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Other Providers at the Same Location NPPES 5

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

ERIC WIGMOSTA PHARMD

Pharmacist