WALGREENS #04220
NPI 1164439170
Pharmacy in Chesterfield, MO

Active since August 02, 2006CLIA Certified · 2 labs
14950 CLAYTON RD, CHESTERFIELD, MO 63017(636) 527-7873 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2019, May 11, 2018 (2 updates tracked since 2018).

About Walgreens #04220 NPPES

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

WALGREENS #04220 (NPI 1164439170) is a healthcare organization registered as a pharmacy in Chesterfield, Missouri and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1164439170
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address14950 CLAYTON RDChesterfield, MO 63017-7042
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 UpdateMarch 31, 20222 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
NPI 1164439170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in MO · 2003016742
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
14950 CLAYTON RD, Chesterfield, MO 63017

Other Names 1

Doing Business AsWalgreens #04220

Other Identifiers 3

Medicaid626067003 DMEMO
Medicaid606067007MO
Other2635007Other Id Number-commercial Number

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 26D2056457

Walgreens #04220 · Chesterfield, MO
Active · expires Mar 22, 2027
CLIA Number26D2056457
Laboratory TypePharmacy
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorJessica S. Vu
Laboratory Phone(636) 527-7873
Laboratory LocationWalgreens #0422014950 Clayton Rd, Chesterfield, MO 63017
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2012986

Walgreens #07185 · Chesterfield, MO
Active · expires May 25, 2027
CLIA Number26D2012986
Laboratory TypePharmacy
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorChristen Lehmann
Laboratory Phone(636) 532-5222
Laboratory LocationWalgreens #07185917 Chesterfield Pkwy E, Chesterfield, MO 63017
CLIA data matches this NPI record on: Name
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.
477 services477 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.
316 services316 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.
141 services141 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.
35 services35 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.
32 services32 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #4220 carries, from the Medicare DMEPOS supplier directory.

Walgreens #4220

DMEPOS supplier · Chesterfield, MOOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #4220 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)20374559
Medicare Participant SinceMarch 1, 2022
Supplier Location14950 Clayton RdChesterfield, MO 63017
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 7

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

Pharmacist
14950 CLAYTON RD
CHESTERFIELD, MO 63017
Pharmacist
14950 CLAYTON RD
CHESTERFIELD, MO 63017
Pharmacist
14950 CLAYTON RD
CHESTERFIELD, MO 63017
Audiologist-Hearing Aid Fitter
14950 CLAYTON RD
CHESTERFIELD, MO 63017
Pharmacist
14950 CLAYTON RD
CHESTERFIELD, MO 63017
Pharmacist
14950 CLAYTON RD
CHESTERFIELD, MO 63017
Pharmacist
14950 CLAYTON RD
CHESTERFIELD, MO 63017

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 1164439170. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Walgreens #04220.

Where is Walgreen Co located?

Walgreen Co is located at 14950 Clayton Rd, Chesterfield, MO 63017. The listed phone number is (636) 527-7873.

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 #4220 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.