WALGREENS #04145 – NPI #1912912080
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 #04145 is a pharmacy located in PROVIDENCE, RI. NPPES has assigned the NPI number 1912912080 to WALGREENS #04145 on July 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WALGREENS #04145” is a dba name, the actual legal business name for this organization is WALGREEN EASTERN CO INC. 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 last updated on Aug 28, 2024. 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 #04145 below.
NPI Profile for
WALGREEN EASTERN CO INC
(about 20 years ago)
PROVIDENCE, RI 02907-1758 Phone: (401) 781-7930 Fax:
MAILSTOP #790
DANVILLE, IL 61834-4509 Phone: (217) 709-2364 Fax: (217) 709-2344
MANAGER
Phone: (217) 709-2364
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 for WALGREENS #04145
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | OTHER ID NUMBER-COMMERCIAL NUMBER | 4105703 | |
| medicaid | RI | 1670164 | |
| medicaid | RI | WE21208 |
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) |
RI | 226 |
| 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.