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WALGREENS #10451
NPI 1225389455
Pharmacy in League City, TX

Active since September 27, 2012CLIA 45D2057702 · Waiver
4902 W MAIN ST, LEAGUE CITY, TX 77573(281) 316-7625(281) 316-8932 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2023, Mar 8, 2022, May 21, 2019 and 1 more (4 updates tracked since 2017).

About Walgreens #10451 NPPES

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

WALGREENS #10451 (NPI 1225389455) is a healthcare organization registered as a pharmacy in League City, Texas and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1225389455
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address4902 W MAIN STLeague City, TX 77573-1691
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(281) 316-7625
Fax(281) 316-8932
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateSeptember 27, 2012
Last NPPES UpdateFebruary 22, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1225389455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in TX · 28268
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
4902 W MAIN ST, League City, TX 77573
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Other Names 1

Doing Business AsWalgreens #10451

Other Identifiers 3

Other5907110TX · Ncpdp
Medicaid466853TX
Medicaid469607TX

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 45D2057702

Walgreens #10451 · League City, TX
Active · expires Apr 22, 2027
CLIA Number45D2057702
Laboratory TypePharmacy
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorZelquawana S. Wilson
Laboratory Phone(281) 316-7625
Laboratory LocationWalgreens #104514902 W Main St, League City, TX 77573
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 #10451 carries, from the Medicare DMEPOS supplier directory.

Walgreens #10451

DMEPOS supplier · League City, TXOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #10451 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)20384459
Medicare Participant SinceMarch 1, 2022
Supplier Location4902 W Main StLeague City, TX 77573
Phone(281) 316-7625
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.

DOAN T TA PHARM. D
Pharmacist
4902 W MAIN ST
LEAGUE CITY, TX 77573
Galveston County (281) 316-7625
ADAM DEMOSS
Pharmacist
4902 W MAIN ST
LEAGUE CITY, TX 77573
Galveston County (281) 412-3305
MIREN PATEL
Pharmacist
4902 W MAIN ST
LEAGUE CITY, TX 77573
Galveston County (281) 316-7625

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 1225389455. It was assigned to this organization in the NPPES registry on September 27, 2012. The provider is doing business as Walgreens #10451.

Where is Walgreen Co located?

Walgreen Co is located at 4902 W Main St, League City, TX 77573. The listed phone number is (281) 316-7625.

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 #10451 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 45D2057702) is associated with this NPI, valid through April 22, 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 47 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 February 22, 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.