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WALGREENS #17227
NPI 1972029700
Pharmacy in Saranac Lake, NY

Active since August 14, 2017CLIA 33D2296182 · Waiver
173 CHURCH ST, SARANAC LAKE, NY 12983(518) 891-6033(518) 891-6833 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2022, Aug 15, 2019, Jul 23, 2018 and 3 more (6 updates tracked since 2017).

About Walgreens #17227 NPPES

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

WALGREENS #17227 (NPI 1972029700) is a healthcare organization registered as a pharmacy in Saranac Lake, New York and active in the NPI registry since August 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

NPI1972029700
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address173 CHURCH STSaranac Lake, NY 12983-1843
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(518) 891-6033
Fax(518) 891-6833
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 14, 2017
Last NPPES UpdateMay 11, 20226 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1972029700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 036129
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 · Compounding PharmacyTaxonomy 3336C0004X
173 CHURCH ST, Saranac Lake, NY 12983
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Other Names 1

Doing Business AsWalgreens #17227

Other Identifiers 2

Medicaid04981577NY
Other5821663NY · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..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 33D2296182

Walgreens No 17227 · Saranac Lake, NY
Active · expires Mar 26, 2027
CLIA Number33D2296182
Laboratory TypePharmacy
Certificate Effective DateDecember 22, 2023
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Zeiad A. Fakhouri
Laboratory Phone(518) 891-6033
Laboratory LocationWalgreens No 17227173 Church St, Saranac Lake, NY 12983
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #17227 carries, from the Medicare DMEPOS supplier directory.

Walgreens #17227

DMEPOS supplier · Saranac Lake, NYOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #17227 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)20380349
Medicare Participant SinceMarch 1, 2022
Supplier Location173 Church StSaranac Lake, NY 12983
Phone(518) 891-6033
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.

Other Providers at the Same Location NPPES 3

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

HEATHER L DAMOUR RPH
Pharmacist
173 CHURCH ST
SARANAC LAKE, NY 12983
Franklin County (518) 891-6033
DENICE ANN BRADY RPH
Pharmacist
173 CHURCH ST
SARANAC LAKE, NY 12983
Franklin County (518) 891-6033
MATTHEW RAYMOND BROWN PHARM D
Pharmacist
173 CHURCH ST
SARANAC LAKE, NY 12983
Franklin County (518) 891-6033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1972029700. It was assigned to this organization in the NPPES registry on August 14, 2017. The provider is doing business as Walgreens #17227.

Where is Walgreen Co located?

Walgreen Co is located at 173 Church St, Saranac Lake, NY 12983. The listed phone number is (518) 891-6033.

What is Walgreen Co's specialty?

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

Does Walgreen Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #17227 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2296182) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walgreen Co accept?

Health plans from Medica and Moda Health Plan, Inc. list Walgreen Co as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.