WALGREENS #21431
NPI 1104504554
Pharmacy in Anna, TX

Active since July 06, 2023CLIA 45D2311001 · Waiver
701 BUDDY HAYES BLVD, ANNA, TX 75409(945) 777-8046(945) 777-8047 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2024, Jun 28, 2024, Apr 30, 2024 and 1 more (4 updates tracked since 2023).

About Walgreens #21431 NPPES

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

WALGREENS #21431 (NPI 1104504554) is a healthcare organization registered as a pharmacy in Anna, Texas and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through September 15, 2026 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1104504554
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address701 BUDDY HAYES BLVDAnna, TX 75409
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2494
Fax(945) 777-8047
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 6, 2023
Last NPPES UpdateAugust 2, 20244 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
NPI 1104504554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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
701 BUDDY HAYES BLVD, Anna, TX 75409

Other Names 1

Doing Business AsWalgreens #21431

Other Identifiers 1

Medicaid471486TX

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 45D2311001

Walgreens 21431 · Anna, TX
Active · expires Sep 15, 2026
CLIA Number45D2311001
Laboratory TypePharmacy
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateSeptember 15, 2026
Laboratory DirectorAzia Washington
Laboratory Phone(945) 777-8046
Laboratory LocationWalgreens 21431701 Buddy Hayes Blvd, Anna, TX 75409
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1104504554. It was assigned to this organization in the NPPES registry on July 6, 2023. The provider is doing business as Walgreens #21431.

Where is Walgreen Co located?

Walgreen Co is located at 701 Buddy Hayes Blvd, Anna, TX 75409. The listed phone number is (945) 777-8046.

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 45D2311001) is associated with this NPI, valid through September 15, 2026. 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 45 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 August 2, 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.