WALGREENS #16428 – NPI #1073982161
Pharmacy

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.

Health Care Provider Taxonomy Code for Pharmacy

WALGREENS #16428 is a pharmacy located in CHICAGO, IL. NPPES has assigned the NPI number 1073982161 to WALGREENS #16428 on September 18, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WALGREENS #16428” is a dba name, the actual legal business name for this organization is WALGREEN CO. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 10 years ago on Sep 27, 2016. 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 #16428 below.

NPI Profile for
WALGREEN CO

NPI Number
1073982161
Enumeration Date

(more than 10 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
WALGREEN CO
Doing Business As (dba): WALGREENS #16428
Primary location
111 S HALSTED ST
STE A
CHICAGO, IL 60661-3507
Phone: (312) 463-9142 Fax:
Mailing address
1901 E VOORHEES ST
MS 790
DANVILLE, IL 61834-4509
Phone: (217) 709-2386 Fax: (217) 709-2344
Organization Subpart
Yes - WALGREENS #16428 is subpart of another organization.
Authorized Official
ALAN NIELSEN
TREASURER
Phone: (847) 315-3523
Updated
Identifiers

Identifiers for WALGREENS #16428

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBOARD OF PHARMACYIL054019963
OTHERILMEDIL362127039002
OTHERNCPDPIL1491113
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
333600000X
- Pharmacy (Primary)
3336C0003X
- Pharmacy / Community/Retail Pharmacy

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.