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WALGREEN CO.
NPI 1144076779
Pharmacy in Reisterstown, MD

Active since April 25, 2024CLIA 21D2290471 · Waiver
11917 REISTERSTOWN RD # 19, REISTERSTOWN, MD 21136(410) 833-0183 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Walgreen Co. NPPES

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

WALGREEN CO. (NPI 1144076779), doing business as Walgreens #19129, is a healthcare organization registered as a pharmacy in Reisterstown, Maryland and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through September 25, 2027 and lists Virginia Garza, Director - Ar Central, as its authorized official.

NPPES Registry Identity

NPI1144076779
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address11917 REISTERSTOWN RD # 19Reisterstown, MD 21136-3030
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2364 · Fax (217) 709-2344
Phone(410) 833-0183
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialVirginia GarzaDirector - Ar Central · (217) 709-2364
Enumeration DateApril 25, 2024
NPPES CertifiedApril 25, 2024
✔ NPI 1144076779 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
11917 REISTERSTOWN RD # 19, Reisterstown, MD 21136
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Other Names 1

Doing Business AsWalgreens #19129

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 21D2290471

Walgreeens #19129 · Reisterstown, MD
Active · expires Sep 25, 2027
CLIA Number21D2290471
Laboratory TypePharmacy
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorHimasri Vankayalapati
Laboratory Phone(410) 833-0183
Laboratory LocationWalgreeens #1912911917 Reisterstown Rd, Reisterstown, MD 21136
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

WALGREEN CO
Pharmacy
11917 REISTERSTOWN RD # 19
REISTERSTOWN, MD 21136
Baltimore County (410) 833-0183

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 1144076779. It was assigned to this organization in the NPPES registry on April 25, 2024. The provider is doing business as Walgreens #19129.

Where is Walgreen Co. located?

Walgreen Co. is located at 11917 Reisterstown Rd # 19, Reisterstown, MD 21136. The listed phone number is (410) 833-0183.

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 21D2290471) is associated with this NPI, valid through September 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walgreen Co. was last updated on April 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.