WALGREEN CO.
NPI 1003554361
Clinical Medical Laboratory in Anna, IL

Active since May 25, 2022CLIA 14D2051404 · Waiver
745 E VIENNA ST, ANNA, IL 62906(618) 833-7236(618) 833-7316 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walgreen Co. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALGREEN CO. (NPI 1003554361), doing business as Walgreens #12581, is a healthcare organization registered as a clinical medical laboratory in Anna, Illinois and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through March 25, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1003554361
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameWALGREEN CO.
Location Address745 E VIENNA STAnna, IL 62906-2041
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(618) 833-7316
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateMay 25, 2022
NPPES CertifiedMay 25, 2022
NPI 1003554361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
745 E VIENNA ST, Anna, IL 62906

Other Names 1

Doing Business AsWalgreens #12581

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2051404

Walgreens #12581 · Anna, IL
Active · expires Mar 25, 2027
CLIA Number14D2051404
Laboratory TypePharmacy
Certificate Effective DateMarch 26, 2025
Certificate Expiration DateMarch 25, 2027
Laboratory DirectorThuy Brink
Laboratory Phone(618) 833-7236
Laboratory LocationWalgreens #12581745 E Vienna St, Anna, IL 62906
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #12581 carries, from the Medicare DMEPOS supplier directory.

Walgreens #12581

DMEPOS supplier · Anna, ILOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #12581 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20376707
Medicare Participant SinceMarch 1, 2022
Supplier Location745 E Vienna StAnna, IL 62906
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
745 E VIENNA ST
ANNA, IL 62906
Pharmacy
745 E VIENNA ST
ANNA, IL 62906
Pharmacist
745 E VIENNA ST
ANNA, IL 62906

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walgreen Co.'s NPI number?

The NPI number for Walgreen Co. is 1003554361. It was assigned to this organization in the NPPES registry on May 25, 2022. The provider is doing business as Walgreens #12581.

Where is Walgreen Co. located?

Walgreen Co. is located at 745 E Vienna St, Anna, IL 62906. The listed phone number is (618) 833-7236.

What is Walgreen Co.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Walgreen Co. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #12581 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2051404) is associated with this NPI, valid through March 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walgreen Co. was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.