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WALGREENS #15830
NPI 1174606586
Pharmacy - Community/Retail Pharmacy in Pine Bluff, AR

Active since October 23, 2006
1401 E HARDING AVE, PINE BLUFF, AR 71601(870) 536-7140(870) 536-6513 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 15, 2018, May 22, 2018, Jan 20, 2016 (3 updates tracked since 2016).

About Walgreens #15830 NPPES

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

WALGREENS #15830 (NPI 1174606586) is a healthcare organization registered as a community/retail pharmacy in Pine Bluff, Arkansas and active in the NPI registry since October 2006. The organization lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1174606586
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREEN CO
Location Address1401 E HARDING AVEPine Bluff, AR 71601-6167
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(870) 536-7140
Fax(870) 536-6513
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateOctober 23, 2006
Last NPPES UpdateJune 15, 20183 updates tracked since enumeration
✔ NPI 1174606586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License AR09676 (AR)
Also ListedPharmacyTaxonomy 333600000X · License AR09676 (AR)
1401 E HARDING AVE, Pine Bluff, AR 71601
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Other Names 1

Doing Business AsWalgreens #15830

Other Identifiers 4

Other136452716AR · Medicaid Dme
Other10619AR · Medicaid Flu
Medicaid100845407AR
Other0409676Other Id Number-commercial Number

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 1174606586. It was assigned to this organization in the NPPES registry on October 23, 2006. The provider is doing business as Walgreens #15830.

Where is Walgreen Co located?

Walgreen Co is located at 1401 E Harding Ave, Pine Bluff, AR 71601. The listed phone number is (870) 536-7140.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.