WALGREEN CO
NPI 1174046437
Pharmacy in Hodgenville, KY

Active since July 19, 2017CLIA 18D2229471 · Waiver
415 N LINCOLN BLVD, HODGENVILLE, KY 42748(270) 358-3186(270) 358-0926 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2023, May 13, 2022, Dec 13, 2019 and 1 more (4 updates tracked since 2017).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1174046437), doing business as Walgreens #17478, is a healthcare organization registered as a pharmacy in Hodgenville, Kentucky and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through July 12, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1174046437
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address415 N LINCOLN BLVDHodgenville, KY 42748-1610
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(270) 358-0926
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 19, 2017
Last NPPES UpdateJune 12, 20264 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
NPI 1174046437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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 ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
415 N LINCOLN BLVD, Hodgenville, KY 42748

Other Names 1

Doing Business AsWalgreens #17478

Other Identifiers 2

Medicaid7100507400KY
OtherPO7878KY · Board Of Pharmacy

Accepted 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 18D2229471

Walgreens #17478 · Hodgenville, KY
Active · expires Jul 12, 2027
CLIA Number18D2229471
Laboratory TypePharmacy
Certificate Effective DateJuly 13, 2025
Certificate Expiration DateJuly 12, 2027
Laboratory DirectorMs. Kee E. Shields
Laboratory Phone(270) 358-3186
Laboratory LocationWalgreens #17478415 North Lincoln Boulevard, Hodgenville, KY 42748
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 #17478 carries, from the Medicare DMEPOS supplier directory.

Walgreens #17478

DMEPOS supplier · Hodgenville, KYOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #17478 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)20401895
Medicare Participant SinceMarch 1, 2022
Supplier Location415 N Lincoln BlvdHodgenville, KY 42748
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.

Pharmacist
415 N LINCOLN BLVD
HODGENVILLE, KY 42748
Pharmacist
415 N LINCOLN BLVD
HODGENVILLE, KY 42748
Pharmacist
415 N LINCOLN BLVD
HODGENVILLE, KY 42748

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 1174046437. It was assigned to this organization in the NPPES registry on July 19, 2017. The provider is doing business as Walgreens #17478.

Where is Walgreen Co located?

Walgreen Co is located at 415 N Lincoln Blvd, Hodgenville, KY 42748. The listed phone number is (270) 358-3186.

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 #17478 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 18D2229471) is associated with this NPI, valid through July 12, 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 39 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 June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.