WALGREENS PHARMACY #12427 – NPI #1770868457
Clinic/Center

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).

Health Care Provider Taxonomy Code for Clinic/Center

WALGREENS PHARMACY #12427 is an AHC clinic located in SPRINGFIELD, IL. NPPES has assigned the NPI number 1770868457 to WALGREENS PHARMACY #12427 on October 13, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WALGREENS PHARMACY #12427 below.

NPI Profile for
WALGREENS PHARMACY #12427

NPI Number
1770868457
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WALGREENS PHARMACY #12427
Primary location
2305 W MONROE
SPRINGFIELD, IL 62704
Phone: (217) 546-9558 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RYAN BOUCHARD
MANAGER
Phone: (217) 546-9558
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 IL 051-031981

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.