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WALGREENS #17836
NPI 1235654971
Pharmacy in Timonium, MD

Active since August 03, 2017CLIA 21D2290480 · Waiver
12224 TULLAMORE RD, TIMONIUM, MD 21093(410) 683-0031(410) 683-1609 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2022, Aug 30, 2019, Aug 16, 2018 and 3 more (6 updates tracked since 2017).

About Walgreens #17836 NPPES

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

WALGREENS #17836 (NPI 1235654971) is a healthcare organization registered as a pharmacy in Timonium, Maryland and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through September 25, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1235654971
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address12224 TULLAMORE RDTimonium, MD 21093-7816
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(410) 683-0031
Fax(410) 683-1609
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 3, 2017
Last NPPES UpdateMay 16, 20226 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
✔ NPI 1235654971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MD · P07830
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
12224 TULLAMORE RD, Timonium, MD 21093
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Other Names 1

Doing Business AsWalgreens #17836

Other Identifiers 2

Other2141909MD · Ncpdp
Medicaid510642700MD

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 21D2290480

Walgreeens #17836 · Timonium, MD
Active · expires Sep 25, 2027
CLIA Number21D2290480
Laboratory TypePharmacy
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorJayill Charles
Laboratory Phone(410) 683-0031
Laboratory LocationWalgreeens #1783612224 Tullamore Road, Timonium, MD 21093
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.

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.
11 services11 patients
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.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens carries, from the Medicare DMEPOS supplier directory.

Walgreens

DMEPOS supplier · Timonium, MDOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens 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)20380361
Medicare Participant SinceMarch 1, 2022
Supplier Location12224 Tullamore RdTimonium, MD 21093
Phone(410) 683-0031
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 5

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

VALENTINA VAYS
Pharmacist
12224 TULLAMORE RD
TIMONIUM, MD 21093
Baltimore County (410) 683-0031
DR. NNENNA UZOH
Pharmacist
12224 TULLAMORE RD
TIMONIUM, MD 21093
Baltimore County (410) 683-0031
DR. CHRISTOPHER MICHAEL MALTESE PHARM.D.
Pharmacist
12224 TULLAMORE RD
TIMONIUM, MD 21093
Baltimore County (410) 683-0031
WALGREEN CO.
Pharmacy
12224 TULLAMORE RD
TIMONIUM, MD 21093
Baltimore County (410) 683-0031
KADAMBAVANAM DAVID
Pharmacist
12224 TULLAMORE RD
LUTHERVILLE, MD 21093
Baltimore County (410) 683-0031

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 1235654971. It was assigned to this organization in the NPPES registry on August 3, 2017. The provider is doing business as Walgreens #17836.

Where is Walgreen Co located?

Walgreen Co is located at 12224 Tullamore Rd, Timonium, MD 21093. The listed phone number is (410) 683-0031.

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 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 21D2290480) is associated with this NPI, valid through September 25, 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 May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.