WALGREEN CO
NPI 1972027076
Pharmacy in Utica, NY

Active since July 31, 2017CLIA 33D2237946 · Waiver
208 HERKIMER RD, UTICA, NY 13502(315) 735-6081(315) 792-1829 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 16, 2022, Jan 28, 2020, Jul 24, 2018 and 4 more (7 updates tracked since 2017).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1972027076), doing business as Walgreens #17724, is a healthcare organization registered as a pharmacy in Utica, New York and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1972027076
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address208 HERKIMER RDUtica, NY 13502-2314
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(315) 792-1829
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 31, 2017
Last NPPES UpdateJune 23, 20267 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
NPI 1972027076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in NY · 036235
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
208 HERKIMER RD, Utica, NY 13502

Other Names 1

Doing Business AsWalgreens #17724

Other Identifiers 2

Medicaid04991342NY
Other5822300NY · Ncpdp

Accepted Insurance

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20397635
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
33D2237946
Facility Type
Pharmacy
Certificate Effective Date
September 29, 2021
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. ZEIAD A. FAKHOURI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walgreen Co 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.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pharmacist
208 HERKIMER RD
UTICA, NY 13502
Pharmacist
208 HERKIMER RD
UTICA, NY 13502
Pharmacist
208 HERKIMER RD
UTICA, NY 13502
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
208 HERKIMER RD
UTICA, NY 13502
Pharmacist
208 HERKIMER RD
UTICA, NY 13502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972027076, enumerated as an "organization" on July 31, 2017.

The provider is located at 208 HERKIMER RD UTICA, NY 13502 and the phone number is (315) 735-6081.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.