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WALGREENS #17319
NPI 1164947941
Pharmacy in Wheeling, WV

Active since August 14, 2017CLIA 51D2234676 · Waiver
111 KRUGER ST, WHEELING, WV 26003(304) 242-0273(304) 242-8802 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2022, Feb 16, 2022, Feb 3, 2020 and 1 more (4 updates tracked since 2017).

About Walgreens #17319 NPPES

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

WALGREENS #17319 (NPI 1164947941) is a healthcare organization registered as a pharmacy in Wheeling, West Virginia and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1164947941
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address111 KRUGER STWheeling, WV 26003-5120
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(304) 242-0273
Fax(304) 242-8802
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 14, 2017
Last NPPES UpdateMay 11, 20224 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1164947941 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
111 KRUGER ST, Wheeling, WV 26003
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Other Names 1

Doing Business AsWalgreens #17319

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 51D2234676

Walgreens #17319 · Wheeling, WV
Active · expires Sep 1, 2027
CLIA Number51D2234676
Laboratory TypePharmacy
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorErica Wallner
Laboratory Phone(304) 242-0273
Laboratory LocationWalgreens #17319111 Kruger Street, Wheeling, WV 26003
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 #17319 carries, from the Medicare DMEPOS supplier directory.

Walgreens #17319

DMEPOS supplier · Wheeling, WVOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #17319 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)20401529
Medicare Participant SinceMarch 1, 2022
Supplier Location111 Kruger StWheeling, WV 26003
Phone(304) 242-0273
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 11

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

MELINDA ZOLADZ RPH
Pharmacist
111 KRUGER ST
WHEELING, WV 26003
Ohio County (304) 242-0273
MR. MICHAEL D. BAHMER RPH.
Pharmacist
111 KRUGER ST
WHEELING, WV 26003
Ohio County (304) 242-9306
MARIA ANN MINOR RPH
Pharmacist
111 KRUGER ST
WHEELING, WV 26003
Ohio County (304) 242-0273
DR. JEFFREY PAUL DAVIS PHARM.D.
Pharmacist
111 KRUGER ST
WHEELING, WV 26003
Ohio County (304) 242-9306
SPENCER NICOLAAS LAWRENCE PHARMACIST
Pharmacist
111 KRUGER ST
WHEELING, WV 26003
Ohio County (304) 242-0273
LINDA S WELSH RPH
Pharmacist
111 KRUGER ST
WHEELING, WV 26003
Ohio County (304) 242-0273
WALGREEN CO.
Clinical Medical Laboratory
111 KRUGER ST
WHEELING, WV 26003
Ohio County (304) 242-0273
DANIEL J MCKEEVER
Pharmacist
111 KRUGER ST
WHEELING, WV 26003
Ohio County (304) 242-0273

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 1164947941. It was assigned to this organization in the NPPES registry on August 14, 2017. The provider is doing business as Walgreens #17319.

Where is Walgreen Co located?

Walgreen Co is located at 111 Kruger St, Wheeling, WV 26003. The listed phone number is (304) 242-0273.

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 #17319 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 51D2234676) is associated with this NPI, valid through September 1, 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 40 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 May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.