WALGREENS #15772
NPI 1093899148
Pharmacy in Tulsa, OK

Active since October 25, 2006CLIA 37D2293410 · Waiver
2323 W EDISON ST, TULSA, OK 74127(918) 582-1375(918) 560-9001 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 2, 2022, Nov 24, 2015 (2 updates tracked since 2015).

About Walgreens #15772 NPPES

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

WALGREENS #15772 (NPI 1093899148) is a healthcare organization registered as a pharmacy in Tulsa, Oklahoma and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1093899148
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address2323 W EDISON STTulsa, OK 74127-5218
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(918) 560-9001
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateOctober 25, 2006
Last NPPES UpdateMay 2, 20222 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
NPI 1093899148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in OK · 23143
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 · License 23143 (OK)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
2323 W EDISON ST, Tulsa, OK 74127

Other Names 1

Doing Business AsWalgreens #15772

Other Identifiers 4

Other200114890EOK · Medicaid Dme
Other3716454Other Id Number-commercial Number
Medicaid100236540WOK
Other400522489OK · Medicare Flu

Accepted 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 37D2293410

Walgreens 15772 · Tulsa, OK
Active · expires Nov 7, 2027
CLIA Number37D2293410
Laboratory TypePharmacy
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorMatt Lipe
Laboratory Phone(918) 582-1375
Laboratory LocationWalgreens 157722323 W Edison St, Tulsa, OK 74127
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #15772 carries, from the Medicare DMEPOS supplier directory.

Walgreens #15772

DMEPOS supplier · Tulsa, OKOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #15772 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)20385047
Medicare Participant SinceMarch 1, 2022
Supplier Location2323 W Edison StTulsa, OK 74127
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.

Pharmacist
2323 W EDISON ST
TULSA, OK 74127
Pharmacist
2323 W EDISON ST
TULSA, OK 74127
Pharmacist
2323 W EDISON ST
TULSA, OK 74127

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 1093899148. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as Walgreens #15772.

Where is Walgreen Co located?

Walgreen Co is located at 2323 W Edison St, Tulsa, OK 74127. The listed phone number is (918) 582-1375.

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 #15772 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2293410) is associated with this NPI, valid through November 7, 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 43 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 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.