WALGREENS #05766
NPI 1114934114
Pharmacy in Pasadena, TX

Active since August 02, 2006
101 W SOUTHMORE AVE, PASADENA, TX 77502(713) 472-0166 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2023, Apr 29, 2022, May 13, 2019 and 2 more (5 updates tracked since 2015).

About Walgreens #05766 NPPES

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

WALGREENS #05766 (NPI 1114934114) is a healthcare organization registered as a pharmacy in Pasadena, Texas and active in the NPI registry since August 2006. The organization lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1114934114
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address101 W SOUTHMORE AVEPasadena, TX 77502-1001
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateAugust 2, 2006
Last NPPES UpdateFebruary 27, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
NPI 1114934114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in TX · 10780
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 ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
101 W SOUTHMORE AVE, Pasadena, TX 77502

Other Names 1

Doing Business AsWalgreens #05766

Other Identifiers 3

Medicaid468459TX
Other4557281Other Id Number-commercial Number
Medicaid462335TX

Accepted Insurance

Areas of Expertise CMS Part B claims 2

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.
24 services24 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.
16 services16 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #5766 carries, from the Medicare DMEPOS supplier directory.

Walgreens #5766

DMEPOS supplier · Pasadena, TXOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #5766 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)20359085
Medicare Participant SinceMarch 1, 2022
Supplier Location101 W Southmore AvePasadena, TX 77502
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
101 W SOUTHMORE AVE
PASADENA, TX 77502
Pharmacist
101 W SOUTHMORE AVE
PASADENA, TX 77502
Pharmacist
101 W SOUTHMORE AVE
PASADENA, TX 77502

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 1114934114. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Walgreens #05766.

Where is Walgreen Co located?

Walgreen Co is located at 101 W Southmore Ave, Pasadena, TX 77502. The listed phone number is (713) 472-0166.

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 #5766 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Walgreen Co accept?

Health plans from Medica and Moda Health Plan, Inc. 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 February 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.