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WALGREENS #21249
NPI 1215599162
Pharmacy in Jacksonville, TX

Active since July 01, 2019
1329 S JACKSON ST, JACKSONVILLE, TX 75766(903) 339-7074(903) 339-7075 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2023, Sep 11, 2019, Aug 21, 2019 and 2 more (5 updates tracked since 2019).

About Walgreens #21249 NPPES

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

WALGREENS #21249 (NPI 1215599162) is a healthcare organization registered as a pharmacy in Jacksonville, Texas and active in the NPI registry since July 2019. The organization lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1215599162
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1329 S JACKSON STJacksonville, TX 75766-3021
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(903) 339-7074
Fax(903) 339-7075
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 1, 2019
Last NPPES UpdateFebruary 28, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1215599162 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
1329 S JACKSON ST, Jacksonville, TX 75766
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Other Names 1

Doing Business AsWalgreens #21249

Other Identifiers 2

Medicaid471278TX
Other5928316TX · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES

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

DR. KEBBA S CAMARA PHARMD
Pharmacist
1329 S JACKSON ST
JACKSONVILLE, TX 75766
Cherokee County (903) 339-7074

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 1215599162. It was assigned to this organization in the NPPES registry on July 1, 2019. The provider is doing business as Walgreens #21249.

Where is Walgreen Co located?

Walgreen Co is located at 1329 S Jackson St, Jacksonville, TX 75766. The listed phone number is (903) 339-7074.

What is Walgreen Co's specialty?

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

What insurance does Walgreen Co accept?

Health plans from Medica and Moda Health Plan, Inc. 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 February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.