WALGREENS #07455
NPI 1013923606
Pharmacy in Waterloo, IA

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1013923606. It was assigned to this organization in the NPPES registry on August 1, 2006.

Q: What is Walgreen Co's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on May 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 01, 2006CLIA 16D2012474 · Waiver

111 W RIDGEWAY AVE, WATERLOO, IA 50701(319) 433-0490 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 23, 2022, May 9, 2018, Dec 28, 2015 (3 updates tracked since 2015).

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About Walgreens #07455 NPPES

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

WALGREENS #07455 (NPI 1013923606) is a healthcare organization registered as a pharmacy in Waterloo, Iowa and active in the NPI registry since August 2006. 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

NPI1013923606

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address111 W RIDGEWAY AVEWaterloo, IA 50701-4233

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(319) 433-0490

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira L TaylorManager · (217) 709-2351

Enumeration DateAugust 1, 2006

Last NPPES UpdateMay 23, 20223 updates tracked since enumeration

NPPES CertifiedMay 23, 2022

✔ NPI 1013923606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in IA · 1210

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

111 W RIDGEWAY AVE, Waterloo, IA 50701

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Other Names 1

Doing Business AsWalgreens #07455

Other Identifiers 2

Other1621576Other Id Number-commercial Number

Medicaid0294306IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.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 16D2012474

Walgreens #07455 · Waterloo, IA

Active · expires Mar 25, 2027

CLIA Number16D2012474

Laboratory TypePharmacy

Certificate Effective DateMarch 26, 2025

Certificate Expiration DateMarch 25, 2027

Laboratory DirectorCourtney E. Fischels

Laboratory Phone(319) 433-0490

Laboratory LocationWalgreens #07455111 W Ridgeway Avenue, Waterloo, IA 50701

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 5

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.

210 services209 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

137 services137 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.

54 services54 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

14 services14 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

14 services14 patients

Other Providers at the Same Location NPPES 8

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

DR. CURTIS RAYMOND ORCHARD PHARMD

Pharmacist