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WALGREENS #01996
NPI 1043264153
Pharmacy in Wood River, IL

Active since May 22, 2006CLIA 14D2037825 · Waiver
1122 VAUGHN RD, WOOD RIVER, IL 62095(618) 259-2013(618) 259-2098 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2023, Feb 25, 2022 (2 updates tracked since 2022).

About Walgreens #01996 NPPES

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

WALGREENS #01996 (NPI 1043264153) is a healthcare organization registered as a pharmacy in Wood River, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1043264153
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address1122 VAUGHN RDWood River, IL 62095-1848
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(618) 259-2013
Fax(618) 259-2098
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateMay 22, 2006
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1043264153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in IL · 054.019040
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
1122 VAUGHN RD, Wood River, IL 62095
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Other Names 1

Doing Business AsWalgreens #01996

Other Identifiers 1

Other1478747Ncpdp

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 14D2037825

Walgreens #01996 · Wood River, IL
Active · expires Mar 1, 2027
CLIA Number14D2037825
Laboratory TypePharmacy
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorKerry Studnicki
Laboratory Phone(618) 259-2013
Laboratory LocationWalgreens #019961122 Vaughn Rd, Wood River, IL 62095
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.
153 services153 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.
97 services97 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.
44 services44 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.
17 services17 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.
17 services17 patients

Other Providers at the Same Location NPPES 5

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

DALE SUHRENBROCK RPH
Pharmacist
1122 VAUGHN RD
WOOD RIVER, IL 62095
Madison County (618) 259-2013
WALGREEN CO.
Clinical Medical Laboratory
1122 VAUGHN RD
WOOD RIVER, IL 62095
Madison County (618) 259-2013
DR. BRANDON CHRISTOPHER KOPP PHARMD
Pharmacist
1122 VAUGHN RD
WOOD RIVER, IL 62095
Madison County (618) 259-2013
PROF. KRISTIN KAYE PIPER
Pharmacist
1122 VAUGHN RD
WOOD RIVER, IL 62095
Madison County (618) 259-2013
HAYLEY ANN NICOLE TURNER
Pharmacist
1122 VAUGHN RD
WOOD RIVER, IL 62095
Madison County (618) 259-2013

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 1043264153. It was assigned to this organization in the NPPES registry on May 22, 2006. The provider is doing business as Walgreens #01996.

Where is Walgreen Co. located?

Walgreen Co. is located at 1122 Vaughn Rd, Wood River, IL 62095. The listed phone number is (618) 259-2013.

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 14D2037825) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 39 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 November 3, 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.