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WALGREENS #15958
NPI 1093148124
Pharmacy in Hagerstown, MD

Active since August 13, 2013CLIA 21D2096932 · Waiver
13403 VOLVO WAY, MEDICAL SUITE, HAGERSTOWN, MD 21742(240) 500-3764(240) 382-6002 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2022, Nov 27, 2018 (2 updates tracked since 2018).

About Walgreens #15958 NPPES

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

WALGREENS #15958 (NPI 1093148124) is a healthcare organization registered as a pharmacy in Hagerstown, Maryland and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through January 6, 2028 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1093148124
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address13403 VOLVO WAY, MEDICAL SUITEHagerstown, MD 21742-3810
Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(240) 500-3764
Fax(240) 382-6002
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 13, 2013
Last NPPES UpdateMay 4, 20222 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
✔ NPI 1093148124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MD · P06795
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
13403 VOLVO WAY, Hagerstown, MD 21742
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Other Names 1

Doing Business AsWalgreens #15958

Other Identifiers 2

Other2137683MD · Ncpdp
Medicaid307203700MD

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 21D2096932

Walgreens #15958 · Hagerstown, MD
Active · expires Jan 6, 2028
CLIA Number21D2096932
Laboratory TypePharmacy
Certificate Effective DateJanuary 7, 2026
Certificate Expiration DateJanuary 6, 2028
Laboratory DirectorElizabeth Nguyen
Laboratory Phone(240) 500-3764
Laboratory LocationWalgreens #1595813403 Volvo Way Medical, Hagerstown, MD 21742
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

MH HEALTH CARE SERVICES, PC
Family Medicine
13403 VOLVO WAY
HAGERSTOWN, MD 21742
Washington County (866) 434-3255
ALYSHA WATTERS
Nurse Practitioner (Family)
13403 VOLVO WAY
HAGERSTOWN, MD 21742
Washington County (240) 500-3764
TAMYRA LEE JANSEN PT,DPT
Physical Therapist (Orthopedic)
13403 VOLVO WAY
HAGERSTOWN, MD 21742
Washington County (240) 500-3764
MIYAH NICOLE CARPENTER
Emergency Medical Technician, Basic
13403 VOLVO WAY
HAGERSTOWN, MD 21742
Washington County (240) 405-2433
MS. DAWN MARIE MILLER RN
Registered Nurse
13403 VOLVO WAY
HAGERSTOWN, MD 21742
Washington County (301) 790-5400
MRS. JANEEN A LYCHE
Nurse Practitioner (Family)
13403 VOLVO WAY, MEDICAL SUITE
HAGERSTOWN, MD 21742
Washington County (240) 500-3764
ELIZABETH LINH PHUONG NGUYEN
Pharmacist
13403 VOLVO WAY
HAGERSTOWN, MD 21742
Washington County (240) 500-3764
ASM PHARMACY, LLC
Pharmacy
13403 VOLVO WAY
HAGERSTOWN, MD 21742
Washington County (240) 500-3764

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 1093148124. It was assigned to this organization in the NPPES registry on August 13, 2013. The provider is doing business as Walgreens #15958.

Where is Walgreen Co located?

Walgreen Co is located at 13403 Volvo Way Medical Suite, Hagerstown, MD 21742. The listed phone number is (240) 500-3764.

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 21D2096932) is associated with this NPI, valid through January 6, 2028. 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 May 4, 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.