WALGREENS #11143
NPI 1184810087
Pharmacy in Fairlawn, OH

Q: What is Walgreen Co.'s NPI number?

The NPI number for Walgreen Co. is 1184810087. It was assigned to this organization in the NPPES registry on September 25, 2007. The provider is doing business as Walgreens #11143.

Q: What is Walgreen Co.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co. was last updated on November 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 25, 2007CLIA 36D2011778 · Waiver

3009 W MARKET ST, FAIRLAWN, OH 44333(330) 867-1946(330) 867-2284 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2023, Jan 11, 2016 (2 updates tracked since 2016).

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About Walgreens #11143 NPPES

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

WALGREENS #11143 (NPI 1184810087) is a healthcare organization registered as a pharmacy in Fairlawn, Ohio and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through May 16, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1184810087

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO.

Location Address3009 W MARKET STFairlawn, OH 44333-3610

Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(330) 867-1946

Fax(330) 867-2284

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira TaylorManager · (217) 709-2351

Enumeration DateSeptember 25, 2007

Last NPPES UpdateNovember 6, 20232 updates tracked since enumeration

NPPES CertifiedNovember 6, 2023

✔ NPI 1184810087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in OH · 02-1761200

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

3009 W MARKET ST, Fairlawn, OH 44333

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Other Names 1

Doing Business AsWalgreens #11143

Other Identifiers 2

Medicaid2785777OH

Other3676446Ncpdp

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 36D2011778

Walgreens #11143 · Fairlawn, OH

Active · expires May 16, 2027

CLIA Number36D2011778

Laboratory TypePharmacy

Certificate Effective DateMay 17, 2025

Certificate Expiration DateMay 16, 2027

Laboratory DirectorLucas A. Mitzel

Laboratory Phone(330) 867-1946

Laboratory LocationWalgreens #111433009 West Market Street, Fairlawn, OH 44333

CLIA data matches this NPI record on: Address Name Phone

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.

147 services147 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.

100 services100 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.

45 services45 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.

14 services14 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.

14 services14 patients

Other Providers at the Same Location NPPES 8

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

DR. MEERA VALLABH PHARMD

Pharmacist