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WALGREENS #11645
NPI 1033364450
Pharmacy in Dallas, TX

Active since November 26, 2008CLIA Certified · 2 labs
10152 LAKE JUNE RD, DALLAS, TX 75217(469) 341-3900(469) 341-3906 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2023, May 23, 2019, Jan 13, 2017 and 1 more (4 updates tracked since 2016).

About Walgreens #11645 NPPES

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

WALGREENS #11645 (NPI 1033364450) is a healthcare organization registered as a pharmacy in Dallas, Texas and active in the NPI registry since November 2008. The organization holds 2 active CLIA laboratory certificates and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1033364450
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address10152 LAKE JUNE RDDallas, TX 75217
Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(469) 341-3900
Fax(469) 341-3906
Organization SubpartYesParent: Walgreens Boots Alliance
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateNovember 26, 2008
Last NPPES UpdateFebruary 27, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
✔ NPI 1033364450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in TX · 26268
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 ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
10152 LAKE JUNE RD, Dallas, TX 75217
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Other Names 1

Doing Business AsWalgreens #11645

Other Identifiers 3

Other4550578Ncpdp
Medicaid466545TX
Medicaid468178TX

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 2

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 45D2205947

Walgreens #11645 · Dallas, TX
Active · expires Dec 15, 2026
CLIA Number45D2205947
Laboratory TypePharmacy
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorJustin Cooper
Laboratory Phone(972) 370-9367
Laboratory LocationWalgreens #1164510152 Lake June Rd, Dallas, TX 75217
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2017995

Walgreens #4705 · Dallas, TX
Active · expires Apr 16, 2028
CLIA Number45D2017995
Laboratory TypeCovid-19 Testing Site
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorJustin L. Cooper
Laboratory Phone(847) 527-4238
Laboratory LocationWalgreens #47052060 S Buckner Blvd, Dallas, TX 75217
CLIA data matches this NPI record on: Name
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.
17 services17 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.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #11645 carries, from the Medicare DMEPOS supplier directory.

Walgreens #11645

DMEPOS supplier · Dallas, TXOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #11645 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)20378435
Medicare Participant SinceMarch 1, 2022
Supplier Location10152 Lake June RdDallas, TX 75217
Phone(469) 341-3900
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.

MRS. SHAWNA LYNN STEED RPH
Pharmacist
10152 LAKE JUNE RD
DALLAS, TX 75217
Dallas County (469) 341-3900
KAREN FRANCES REYNOLDS
Pharmacist
10152 LAKE JUNE RD
DALLAS, TX 75217
Dallas County (469) 341-3900
SAMIRA IBRAHIM NAZZAL
Pharmacist
10152 LAKE JUNE RD
DALLAS, TX 75217
Dallas County (469) 341-3900

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 1033364450. It was assigned to this organization in the NPPES registry on November 26, 2008. The provider is doing business as Walgreens #11645.

Where is Walgreen Co located?

Walgreen Co is located at 10152 Lake June Rd, Dallas, TX 75217. The listed phone number is (469) 341-3900.

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, Walgreens #11645 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 45 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 February 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.