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WALGREEN CO
NPI 1154754273
Pharmacy in Lees Summit, MO

Active since August 13, 2013CLIA 26D2071011 · Waiver
901 SW STATE ROUTE 150, LEES SUMMIT, MO 64082(816) 623-3139(816) 623-3158 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2025, Nov 9, 2023, Mar 8, 2022 and 3 more (6 updates tracked since 2018).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1154754273), doing business as Walgreens #10461, is a healthcare organization registered as a pharmacy in Lees Summit, Missouri and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1154754273
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address901 SW STATE ROUTE 150Lees Summit, MO 64082-4410
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Phone(816) 623-3139
Fax(816) 623-3158
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateAugust 13, 2013
Last NPPES UpdateMarch 28, 20256 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1154754273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MO · 2013040372
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
901 SW STATE ROUTE 150, Lees Summit, MO 64082
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Other Names 1

Doing Business AsWalgreens #10461

Other Identifiers 3

Medicaid600011935MO
Medicaid100432220DKS
Other2641315MO · Ncpdp

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 26D2071011

Walgreens #10461 · Lees Summit, MO
Active · expires Jun 23, 2027
CLIA Number26D2071011
Laboratory TypePharmacy
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorRobin Stevenson
Laboratory Phone(816) 623-3139
Laboratory LocationWalgreens #10461901 SW State Route 150, Lees Summit, MO 64082
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #10461 carries, from the Medicare DMEPOS supplier directory.

Walgreens #10461

DMEPOS supplier · Lees Summit, MOOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #10461 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)20383235
Medicare Participant SinceMarch 1, 2022
Supplier Location901 SW State Route 150Lees Summit, MO 64082
Phone(816) 623-3139
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.

BRYAN ANDERSON PHARM D
Pharmacist
901 SW STATE ROUTE 150
LEES SUMMIT, MO 64082
Jackson County (816) 623-3139
ALEXANDRIA FILES STRINGBERG PHARMD, BCPS, DPLA
Pharmacist
901 SW STATE ROUTE 150
LEES SUMMIT, MO 64082
Jackson County (816) 623-3139
BLAIR JOELLE OLSON PHARMD
Pharmacist
901 SW STATE ROUTE 150
LEES SUMMIT, MO 64082
Jackson County (816) 623-3139

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 1154754273. It was assigned to this organization in the NPPES registry on August 13, 2013. The provider is doing business as Walgreens #10461.

Where is Walgreen Co located?

Walgreen Co is located at 901 SW State Route 150, Lees Summit, MO 64082. The listed phone number is (816) 623-3139.

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 #10461 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2071011) is associated with this NPI, valid through June 23, 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 42 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 March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.