WALGREENS #17031 – NPI #1912420910
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.
WALGREENS #17031 is a pharmacy located in GULFPORT, MS. NPPES has assigned the NPI number 1912420910 to WALGREENS #17031 on July 21, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WALGREENS #17031” 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 4 years ago on May 10, 2022. 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 #17031 below.
NPI Profile for
WALGREEN CO
(about 9 years ago)
GULFPORT, MS 39503 Phone: (228) 832-6280 Fax: (228) 832-8142
MS 790
DANVILLE, IL 61834-4509 Phone: (217) 709-2351 Fax: (217) 709-2344
MANAGER
Phone: (217) 709-2351
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.
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) |
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| 3336C0003X - Pharmacy / Community/Retail Pharmacy |
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| 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.