WALGREENS #04824
NPI 1013922251
Pharmacy in Saint Louis, MO

Active since July 29, 2006CLIA 26D2012634 · Waiver
12098 LUSHER RD, SAINT LOUIS, MO 63138(314) 355-0500 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2022, Apr 4, 2019, May 11, 2018 and 2 more (5 updates tracked since 2015).

About Walgreens #04824 NPPES

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

WALGREENS #04824 (NPI 1013922251) is a healthcare organization registered as a pharmacy in Saint Louis, Missouri and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 11, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1013922251
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address12098 LUSHER RDSaint Louis, MO 63138-1302
Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 29, 2006
Last NPPES UpdateApril 14, 20225 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
NPI 1013922251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in MO · 2851
Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
12098 LUSHER RD, Saint Louis, MO 63138

Other Names 1

Doing Business AsWalgreens #04824

Other Identifiers 3

Other2601486Other Id Number-commercial Number
Medicaid600401103MO
Medicaid620401109 DMEMO

Accepted Insurance

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 26D2012634

Walgreens #04824 · Saint Louis, MO
Active · expires Mar 11, 2027
CLIA Number26D2012634
Laboratory TypePharmacy
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorPatricia Tavares
Laboratory Phone(314) 355-0500
Laboratory LocationWalgreens #0482412098 Lusher Road, Saint Louis, MO 63138
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
33 services33 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
15 services15 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · Saint Louis, MO

Accepts Medicare assignment

Walgreen Co 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)20357699
Medicare Participant SinceMarch 1, 2022
Supplier Location12098 Lusher RdSaint Louis, MO 63138
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 13

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

Pharmacist
12098 LUSHER RD
SAINT LOUIS, MO 63138
Pharmacist
12098 LUSHER RD
SAINT LOUIS, MO 63138
Pharmacist
12098 LUSHER RD
SAINT LOUIS, MO 63138
Pharmacy Technician
12098 LUSHER RD
SAINT LOUIS, MO 63138
Pharmacist
12098 LUSHER RD
SAINT LOUIS, MO 63138
Nurse Practitioner (Family)
12098 LUSHER RD
SAINT LOUIS, MO 63138
Pharmacist
12098 LUSHER RD, WALGREEN'S #4824
SAINT LOUIS, MO 63138
Pharmacist
12098 LUSHER RD
SAINT LOUIS, MO 63138

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 1013922251. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #04824.

Where is Walgreen Co located?

Walgreen Co is located at 12098 Lusher Rd, Saint Louis, MO 63138. The listed phone number is (314) 355-0500.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Walgreen Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreen Co 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 26D2012634) is associated with this NPI, valid through March 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walgreen Co accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 41 other insurers list Walgreen Co as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on April 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.