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WALGREENS #02828
NPI 1164437315
Pharmacy in Rockford, IL

Active since July 29, 2006
1602 KISHWAUKEE ST, ROCKFORD, IL 61104(815) 967-9054(815) 967-8872 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2023, Mar 3, 2022, Feb 17, 2017 and 1 more (4 updates tracked since 2016).

About Walgreens #02828 NPPES

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

WALGREENS #02828 (NPI 1164437315) is a healthcare organization registered as a pharmacy in Rockford, Illinois and active in the NPI registry since July 2006. The organization lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1164437315
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1602 KISHWAUKEE STRockford, IL 61104-5116
Mailing Address1901 E Voorhees St, Mailstop #790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(815) 967-9054
Fax(815) 967-8872
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 29, 2006
Last NPPES UpdateNovember 3, 20234 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1164437315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in IL · 54011364
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
1602 KISHWAUKEE ST, Rockford, IL 61104
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Other Names 1

Doing Business AsWalgreens #02828

Other Identifiers 3

Medicaid362127039113IL
Other1462833Other Id Number-commercial Number
Medicaid33192200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #2828 carries, from the Medicare DMEPOS supplier directory.

Walgreens #2828

DMEPOS supplier · Rockford, ILOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #2828 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)20398619
Medicare Participant SinceMarch 1, 2022
Supplier Location1602 Kishwaukee StRockford, IL 61104
Phone(815) 967-9054
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.

DR. SIERRA ANN DELEHANTY PHARMD
Pharmacist
1602 KISHWAUKEE ST
ROCKFORD, IL 61104
Winnebago County (815) 967-9054
MR. JERRY E MUNDAY RPH
Pharmacist
1602 KISHWAUKEE ST
ROCKFORD, IL 61104
Winnebago County (815) 967-9054
TERESA C. WILKINS
Pharmacist
1602 KISHWAUKEE ST
ROCKFORD, IL 61104
Winnebago County (815) 967-9054

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 1164437315. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #02828.

Where is Walgreen Co located?

Walgreen Co is located at 1602 Kishwaukee St, Rockford, IL 61104. The listed phone number is (815) 967-9054.

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 #2828 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 November 3, 2023. 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.