WALGREENS #05410
NPI 1043225220
Pharmacy in Baltimore, MD

Active since July 29, 2006
19 E FAYETTE ST, BALTIMORE, MD 21202(410) 625-1817 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 26, 2022, Nov 21, 2018, Nov 26, 2015 (3 updates tracked since 2015).

About Walgreens #05410 NPPES

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

WALGREENS #05410 (NPI 1043225220) is a healthcare organization registered as a pharmacy in Baltimore, Maryland and active in the NPI registry since July 2006. The organization lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1043225220
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address19 E FAYETTE STBaltimore, MD 21202-6420
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 26, 20223 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
NPI 1043225220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in MD · P06717
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
19 E FAYETTE ST, Baltimore, MD 21202

Other Names 1

Doing Business AsWalgreens #05410

Other Identifiers 2

Other2124155Other Id Number-commercial Number
Medicaid131302900MD

Accepted Insurance

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
26 services26 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.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #5410 carries, from the Medicare DMEPOS supplier directory.

Walgreens #5410

DMEPOS supplier · Baltimore, MDOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #5410 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)20374127
Medicare Participant SinceMarch 1, 2022
Supplier Location19 E Fayette StBaltimore, MD 21202
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 7

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

Pharmacist
19 E FAYETTE ST
BALTIMORE, MD 21202
Pharmacist
19 E FAYETTE ST
BALTIMORE, MD 21202
Pharmacist
19 E FAYETTE ST
BALTIMORE, MD 21202
Pharmacist
19 E FAYETTE ST
BALTIMORE, MD 21202
Pharmacist
19 E FAYETTE ST
BALTIMORE, MD 21202
Pharmacist
19 E FAYETTE ST
BALTIMORE, MD 21202
Pharmacy
19 E FAYETTE ST
BALTIMORE, MD 21202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043225220, enumerated as an "organization" on July 29, 2006.

The provider is located at 19 E FAYETTE ST BALTIMORE, MD 21202 and the phone number is (410) 625-1817.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.