WALGREENS #10704
NPI 1124173562
Pharmacy - Community/Retail Pharmacy in Centennial, CO

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1124173562. It was assigned to this organization in the NPPES registry on January 24, 2007. The provider is doing business as Walgreens #10704.

Q: What is Walgreen Co's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on October 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 24, 2007CLIA 06D2220022 · Waiver

8959 E DRY CREEK RD, CENTENNIAL, CO 80112(720) 214-1172(720) 214-1176 Get Directions Write a Review

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

Record update history: Oct 27, 2023, Mar 10, 2022, Jan 11, 2019 (3 updates tracked since 2019).

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About Walgreens #10704 NPPES

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

WALGREENS #10704 (NPI 1124173562) is a healthcare organization registered as a community/retail pharmacy in Centennial, Colorado and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 7, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1124173562

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWALGREEN CO

Location Address8959 E DRY CREEK RDCentennial, CO 80112-2765

Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(720) 214-1172

Fax(720) 214-1176

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira L TaylorManager · (217) 709-2351

Enumeration DateJanuary 24, 2007

Last NPPES UpdateOctober 27, 20233 updates tracked since enumeration

NPPES CertifiedOctober 27, 2023

✔ NPI 1124173562 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 · License 676 (CO)

8959 E DRY CREEK RD, Centennial, CO 80112

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Other Names 1

Doing Business AsWalgreens #10704

Other Identifiers 2

Other0620155Ncpdp

Medicaid33020531CO

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 06D2220022

Walgreens #10704 · Centennial, CO

Active · expires Apr 7, 2027

CLIA Number06D2220022

Laboratory TypePharmacy

Certificate Effective DateApril 8, 2025

Certificate Expiration DateApril 7, 2027

Laboratory DirectorRachel E. Traylor

Laboratory Phone(720) 214-1172

Laboratory LocationWalgreens #107048959 E Dry Creek Road, Centennial, CO 80112

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 5

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.

271 services270 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.

156 services155 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.

105 services105 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

17 services17 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

17 services17 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #10704 carries, from the Medicare DMEPOS supplier directory.

Walgreens #10704

DMEPOS supplier · Centennial, COOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #10704 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)20356997

Medicare Participant SinceMarch 1, 2022

Supplier Location8959 E Dry Creek RdCentennial, CO 80112

Phone(720) 214-1172

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.

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Other Providers at the Same Location NPPES 9

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

CHRISTIE J HANSEN RPH

Pharmacist