WALGREENS #05654
NPI 1053328054
Pharmacy in Memphis, TN

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1053328054. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Walgreens #05654.

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 April 28, 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.

Active since August 02, 2006CLIA 44D2032604 · Waiver

6770 MACON RD, MEMPHIS, TN 38134(901) 371-0255 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Apr 28, 2022, Nov 26, 2015 (2 updates tracked since 2015).

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About Walgreens #05654 NPPES

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

WALGREENS #05654 (NPI 1053328054) is a healthcare organization registered as a pharmacy in Memphis, Tennessee and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 4, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1053328054

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address6770 MACON RDMemphis, TN 38134-7542

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

Phone(901) 371-0255

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira L TaylorManager · (217) 709-2351

Enumeration DateAugust 2, 2006

Last NPPES UpdateApril 28, 20222 updates tracked since enumeration

NPPES CertifiedApril 28, 2022

✔ NPI 1053328054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in TN · 3555

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

6770 MACON RD, Memphis, TN 38134

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Other Names 1

Doing Business AsWalgreens #05654

Other Identifiers 2

Other4434166Other Id Number-commercial Number

Medicaid4434166TN

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 44D2032604

Walgreens #5654 · Memphis, TN

Active · expires Oct 4, 2027

CLIA Number44D2032604

Laboratory TypePharmacy

Certificate Effective DateOctober 5, 2025

Certificate Expiration DateOctober 4, 2027

Laboratory DirectorSophie N. Smith

Laboratory Phone(901) 371-0255

Laboratory LocationWalgreens #56546770 Macon Rd, Memphis, TN 38134

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 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.

58 services58 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.

37 services37 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.

16 services16 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.

DR. NATHANIEL WILSON PHARM D.

Pharmacist