WALGREENS #03171
NPI 1023023306
Pharmacy in Vallejo, CA

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1023023306. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #03171.

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 October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 29, 2006

1050 REDWOOD ST, VALLEJO, CA 94590(707) 557-6948 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 26, 2023, Mar 7, 2022, Sep 27, 2018 and 1 more (4 updates tracked since 2015).

On this page

About Walgreens #03171 NPPES

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

WALGREENS #03171 (NPI 1023023306) is a healthcare organization registered as a pharmacy in Vallejo, California and active in the NPI registry since July 2006. The organization lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1023023306

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address1050 REDWOOD STVallejo, CA 94590-2955

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

Phone(707) 557-6948

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira L TaylorManager · (217) 709-2351

Enumeration DateJuly 29, 2006

Last NPPES UpdateOctober 26, 20234 updates tracked since enumeration

NPPES CertifiedOctober 26, 2023

✔ NPI 1023023306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in CA · PHY40248

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

1050 REDWOOD ST, Vallejo, CA 94590

Open in Google Maps ↗

Other Names 1

Doing Business AsWalgreens #03171

Other Identifiers 2

Medicaid1023023306CA

Other0553241Other Id Number-commercial Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Areas of Expertise CMS Part B claims 3

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.

61 services59 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.

36 services36 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.

17 services17 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #3171 carries, from the Medicare DMEPOS supplier directory.

Walgreens #3171

DMEPOS supplier · Vallejo, CAOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #3171 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)20351129

Medicare Participant SinceMarch 1, 2022

Supplier Location1050 Redwood StVallejo, CA 94590

Phone(707) 557-6948

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.

Leave this field empty

Other Providers at the Same Location NPPES 11

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

DR. BRIAN HO PHARMD

Pharmacist