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WALGREENS # 11477
NPI 1104116599
Pharmacy - Community/Retail Pharmacy in Colorado Springs, CO

Active since April 19, 2011CLIA 06D2228669 · Waiver
4470 ROYAL PINE DR, COLORADO SPRINGS, CO 80920(719) 445-4160(719) 445-4166 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2024, Oct 30, 2023, Jan 11, 2019 and 1 more (4 updates tracked since 2016).

About Walgreens # 11477 NPPES

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

WALGREENS # 11477 (NPI 1104116599) is a healthcare organization registered as a community/retail pharmacy in Colorado Springs, Colorado and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Virginia Garza, Manager, as its authorized official.

NPPES Registry Identity

NPI1104116599
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREEN CO
Location Address4470 ROYAL PINE DRColorado Springs, CO 80920-2829
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2364 · Fax (217) 709-2344
Phone(719) 445-4160
Fax(719) 445-4166
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialVirginia GarzaManager · (217) 709-2364
Enumeration DateApril 19, 2011
Last NPPES UpdateJune 19, 20244 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1104116599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
4470 ROYAL PINE DR, Colorado Springs, CO 80920
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Other Names 1

Doing Business AsWalgreens # 11477

Other Identifiers 2

Other0622060Ncpdp
Medicaid76180352CO

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 06D2228669

Walgreens #11477 · Colorado Springs, CO
Active · expires Jun 28, 2027
CLIA Number06D2228669
Laboratory TypePharmacy
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorSunset Stewart
Laboratory Phone(719) 445-4160
Laboratory LocationWalgreens #114774470 Royal Pine Dr, Colorado Springs, CO 80920
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.
88 services88 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.
43 services43 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.
41 services41 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.

TRACY JEAN SNYDER PHARMD
Pharmacist
4470 ROYAL PINE DR
COLORADO SPRINGS, CO 80920
El Paso County (719) 445-4160
WALGREEN CO.
Clinical Medical Laboratory
4470 ROYAL PINE DR
COLORADO SPRINGS, CO 80920
El Paso County (719) 445-4160
AKTTA THAKKAR
Pharmacist
4470 ROYAL PINE DR
COLORADO SPRINGS, CO 80920
El Paso County (719) 445-4160
KRISTIN KNIGHT
Pharmacist
4470 ROYAL PINE DR
COLORADO SPRINGS, CO 80920
El Paso County (719) 445-4160
DR. SUNSET MARIE STEWART PHARMD
Pharmacist
4470 ROYAL PINE DR
COLORADO SPRINGS, CO 80920
El Paso County (719) 445-4160

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 1104116599. It was assigned to this organization in the NPPES registry on April 19, 2011. The provider is doing business as Walgreens # 11477.

Where is Walgreen Co located?

Walgreen Co is located at 4470 Royal Pine Dr, Colorado Springs, CO 80920. The listed phone number is (719) 445-4160.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2228669) is associated with this NPI, valid through June 28, 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 June 19, 2024. 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.