WALGREENS # 10332 – NPI #1811197486
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 # 10332 is a pharmacy located in SUFFOLK, VA. NPPES has assigned the NPI number 1811197486 to WALGREENS # 10332 on July 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WALGREENS # 10332” 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 3 years ago on Oct 30, 2023. 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 # 10332 below.

NPI Profile for
WALGREEN CO

NPI Number
1811197486
Enumeration Date

(about 19 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 # 10332
Primary location
3633 BRIDGE RD
SUFFOLK, VA 23435-1807
Phone: (757) 686-4793 Fax: (757) 638-7808
Mailing address
1901 E VOORHEES ST
MS #790
DANVILLE, IL 61834-4509
Phone: (217) 709-2351 Fax: (217) 709-2344
Organization Subpart
Yes - WALGREENS # 10332 is subpart of another organization.
Authorized Official
KIRA TAYLOR
MANAGER
Phone: (217) 709-2351
Updated
Certification Date
Oct 30, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for WALGREENS # 10332

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
otherNCPDP4840232
medicaidNC0497699
medicaidVA1811197486
medicaidVA1811197486 DME
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)		 VA 0201004195
3336C0003X
- Pharmacy / Community/Retail Pharmacy
332B00000X
- Durable Medical Equipment & Medical Supplies

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.