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WALGREENS #18384
NPI 1023531969
Pharmacy in Providence, RI

Active since July 24, 2017CLIA 41D2233684 · Waiver
456 BRANCH AVE, PROVIDENCE, RI 02904(401) 331-3554(401) 331-6092 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jun 6, 2022, Jan 28, 2020, Aug 15, 2018 and 3 more (6 updates tracked since 2017).

About Walgreens #18384 NPPES

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

WALGREENS #18384 (NPI 1023531969) is a healthcare organization registered as a pharmacy in Providence, Rhode Island and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1023531969
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address456 BRANCH AVEProvidence, RI 02904-2205
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(401) 331-3554
Fax(401) 331-6092
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 24, 2017
Last NPPES UpdateJune 6, 20226 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
✔ NPI 1023531969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in RI · PHA00650
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
456 BRANCH AVE, Providence, RI 02904
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Other Names 1

Doing Business AsWalgreens #18384

Other Identifiers 2

Other4108026RI · Ncpdp
Medicaid1023531969RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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 41D2233684

Walgreens #03737 · North Providence, RI
Active · expires Aug 24, 2027
CLIA Number41D2233684
Laboratory TypePharmacy
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorKatherine E. Gregg
Laboratory Phone(401) 725-6824
Laboratory LocationWalgreens #037371074 Mineral Sprint Ave, North Providence, RI 02904
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

JILLIAN REYNOLDS
Pharmacist
456 BRANCH AVE
PROVIDENCE, RI 02904
Providence County (401) 331-3554
DR. BRYAN JAMES HUBEL PHARMD
Pharmacist
456 BRANCH AVE
PROVIDENCE, RI 02904
Providence County (401) 331-3554
MRS. ANGELA DAUPHINAIS PHARM.D
Pharmacist
456 BRANCH AVE
PROVIDENCE, RI 02904
Providence County (401) 331-3554

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 1023531969. It was assigned to this organization in the NPPES registry on July 24, 2017. The provider is doing business as Walgreens #18384.

Where is Walgreen Co located?

Walgreen Co is located at 456 Branch Ave, Providence, RI 02904. The listed phone number is (401) 331-3554.

What is Walgreen Co's specialty?

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

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D2233684) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walgreen Co accept?

Health plans from Moda Health Plan, Inc. 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 June 6, 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.