WALGREENS #21484
NPI 1255017406
Pharmacy in Whitney, TX

NPI Status: Active since June 23, 2023

Contact Information

1310 N BRAZOS ST
WHITNEY, TX
ZIP 76692
Phone: (254) 694-4413

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  • Organization
  • Pharmacy
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About WALGREENS #21484

Walgreens #21484 is a provider established in Whitney, Texas operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1255017406 assigned on June 2023. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated February 2024. The provider's is doing business as Walgreens #21484. The authorized official of this NPI record is Kira L Taylor (Manager)

NPI
1255017406
Provider Legal Name
WALGREEN CO.
Other Organization Name
WALGREENS #21484
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1310 N BRAZOS ST WHITNEY, TX 76692
Location Phone
(254) 694-4413
Mailing Address
1901 E VOORHEES ST # MS 790 DANVILLE, IL 61834
Mailing Phone
(217) 709-2494
Is Sole Proprietor?
N/A
Is Organization Subpart?
Yes
Enumeration Date
06-23-2023
Last Update Date
02-05-2024
Code Navigator



Walgreens #21484 is a medicare supplier with PTAN 20382257 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Nebulizer Drugs or Oral Anticancer Drugs or Epoetin or Infusion Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Immunosuppressive Drugs.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
23336C0003XSuppliers

Pharmacy
Community/Retail Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Aetna CVS Health

    • Bronze 2 HSA: Aetna network of doctors & hospitals + walk-in clinic + Virtual Care 24/7 - HMO
    • Bronze 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Bronze 4: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
    • Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Bronze S: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
  • Ambetter from Absolute Total Care

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
  • Ambetter from Arkansas Health & Wellness

    • Choice Bronze HSA (QualChoice) - POS
    • Complete Gold - PPO
    • Complete Gold + Vision + Adult Dental - PPO
    • Complete Silver - PPO
    • Complete Silver + Vision + Adult Dental - PPO
  • Ambetter from Buckeye Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
  • Ambetter from Home State Health

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
  • Ambetter from Louisiana Healthcare Connections

    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
  • Ambetter from Magnolia Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA with Walgreens - HMO
    • Choice Bronze HSA with Walgreens + Vision + Adult Dental - HMO
  • Ambetter from Meridian

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Ambetter from Nebraska Total Care

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
  • Ambetter from NH Healthy Families

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
  • Ambetter from Peach State Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Bronze - HMO
    • Clear Bronze + Vision + Adult Dental - HMO
    • Clear Gold - HMO
  • Ambetter from Sunflower Health Plan

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • Ambetter from Sunshine Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Ambetter Health of Delaware

    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • Ambetter of Alabama

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
  • Ambetter of Illinois

    • Central Bronze - HMO
    • Central Bronze + Vision + Adult Dental - HMO
    • Central Gold - HMO
    • Central Gold + Vision + Adult Dental - HMO
    • Central Silver - HMO
  • Ambetter of North Carolina

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Ambetter of Oklahoma

    • Clear Gold - PPO
    • Clear Gold + Vision + Adult Dental - PPO
    • Clear Silver - PPO
    • Clear Silver + Vision + Adult Dental - PPO
    • Complete Silver - PPO
  • Ambetter of Tennessee

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • Avera Health Plans

    • Avera $1800 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $2000 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $4000 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $5200 HSA Eigible HDHP - PPO
    • Avera $5200 HSA Eligilble HDHP - PPO
  • AvMed

    • AvMed Entrust Bronze 600 (2024) - HMO
    • AvMed Entrust Bronze 625 Dental+Vision (2024) - HMO
    • AvMed Entrust Bronze 650 (2024) - HMO
    • AvMed Entrust Expanded Bronze Standard (2024) - HMO
    • AvMed Entrust Gold 125 (2024) - HMO
  • Baylor Scott and White Health Plan

    • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
    • BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
    • BSW Elite Gold HMO 012 ($0 PCP unlimited visits) - HMO
    • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
    • BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
  • Blue Cross and Blue Shield of Alabama

    • Blue HSA Bronze - PPO
    • Blue Protect - PPO
    • Blue Saver Bronze - PPO
    • Blue Value Gold - PPO
    • Blue Value Silver - PPO
  • Blue Cross and Blue Shield of Illinois

    • Blue Choice Preferred Bronze PPO℠ 201 - PPO
    • Blue Choice Preferred Bronze PPO℠ 202 - PPO
    • Blue Choice Preferred Bronze PPO℠ 601 - Rx Copays - PPO
    • Blue Choice Preferred Bronze PPO℠ 701 - Rx Copays - PPO
    • Blue Choice Preferred Bronze PPO℠ 708 - PPO
  • Blue Cross and Blue Shield of Kansas City

    • Blue KC Catastrophic BlueSelect EPO - EPO
    • Blue KC Choice Bronze 1 BlueSelect EPO with Spira Care - EPO
    • Blue KC Choice Bronze 2 BlueSelect EPO with Spira Care - EPO
    • Blue KC Choice Bronze BlueSelect Plus EPO with Spira Care - EPO
    • Blue KC Choice Silver 1 BlueSelect EPO with Spira Care - EPO
  • Blue Cross and Blue Shield of Louisiana

    • Blue Max 100/100 $9450 - PPO
    • Blue Max 70/50 $6700 - PPO
    • Blue Max 90/70 $1500 - PPO
    • Blue Max Copay 50/50 $3300 - PPO
    • Blue Max Copay 50/50 $7500 Standardized Plan - PPO
  • Blue Cross and Blue Shield of Montana

    • Blue Focus Bronze POS℠ 205 - POS
    • Blue Focus Bronze POS℠ 705 - POS
    • Blue Focus Bronze POS℠ 708 - POS
    • Blue Focus Gold POS℠ 207 - POS
    • Blue Focus Gold POS℠ 707 - POS
  • Blue Cross and Blue Shield of Nebraska

    • HeartlandBlue Bronze 0% Coinsurance After Deductible 9450 NEtwork Blue - EPO
    • HeartlandBlue Bronze HSA 6500 Blueprint Health - EPO
    • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
    • HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice - EPO
    • HeartlandBlue Bronze Standard Copay 7500 Blueprint Health - EPO
  • Blue Cross and Blue Shield of Oklahoma

    • Blue Advantage Bronze PPO℠ 801 - PPO
    • Blue Advantage Bronze PPO℠ 202 - PPO
    • Blue Advantage Bronze PPO℠ 203 - PPO
    • Blue Advantage Gold PPO℠ 309 - PPO
    • Blue Advantage Gold PPO℠ 604 - PPO
  • Blue Cross Blue Shield of North Dakota

    • BlueCare Gold 70 - PPO
    • BlueCare Silver 60 - PPO
    • BlueDirect Bronze 100 - PPO
    • BlueDirect Gold 90 - PPO
    • BlueDirect Silver 80 - PPO
  • Blue Cross Blue Shield of Wyoming

    • BlueSelect Bronze Balance - PPO
    • BlueSelect Bronze Basic - PPO
    • BlueSelect Bronze Core - PPO
    • BlueSelect Bronze Value - PPO
    • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • Chorus Community Health Plans

    • Chorus Bronze Copay - EPO
    • Chorus Bronze HDHP - EPO
    • Chorus Catastrophic - EPO
    • Chorus Clear Bronze - EPO
    • Chorus Core Bronze - EPO
  • CHRISTUS Health Plan

    • CHRISTUS Bronze - HMO
    • CHRISTUS Bronze Plus - HMO
    • CHRISTUS Catastrophic - HMO
    • CHRISTUS Gold - HMO
    • CHRISTUS Gold Plus - HMO
  • Cigna Healthcare

    • Connect Bronze 5500 Indiv Med Deductible - HMO
    • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
    • Connect Bronze 8500 Indiv Med Deductible - HMO
    • Connect Bronze 9450 Indiv Med Deductible - HMO
    • Connect Bronze CMS Standard - HMO
  • Common Ground Healthcare Cooperative

    • CGHC Bronze $6000 - Envision Network - EPO
    • CGHC Bronze $6000 - Envision Network (Vision Exam) - EPO
    • CGHC Bronze $9450 ($35 PCP Copay) - Envision Network - EPO
    • CGHC Bronze $9450 ($35 PCP Copay) - Envision Network (Vision Exam) - EPO
    • CGHC Bronze Standard $7500 - Envision Network - EPO
  • Florida Blue (BlueCross BlueShield FL)

    • BlueOptions Bronze (HSA) 24J01-10 (Rewards $$$ / $4 Condition Care Rx) - PPO
    • BlueOptions Bronze 24J01-04 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-06 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-17 ($0 Virtual Visits / $50 PCP Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards $$$) - PPO
  • Florida Blue HMO (a BlueCross BlueShield FL company)

    • BlueCare Bronze (HSA) 24K01-09 (Rewards $$$ / $4 Condition Care Rx) - POS
    • BlueCare Bronze 24K01-03 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - POS
    • BlueCare Bronze 24K01-05 ($0 Virtual Visits / Rewards $$$) - POS
    • BlueCare Bronze 24K01-25 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) - POS
    • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards $$$) - POS
  • HealthPartners

    • Atlas $1,000 w/Copay P-S Gold - PPO
    • Atlas $1,500 w/Copay P-S Gold - PPO
    • Atlas $3,000 w/Copay P-S Silver - PPO
    • Atlas $3,200 Plus Silver - PPO
    • Atlas $3,800 HSA Silver - PPO
  • Highmark Blue Cross Blue Shield Delaware

    • my Blue Access Major Events PPO Catastrophic 9450 - 3 Free PCP Visits - PPO
    • my Blue Access PPO Bronze 3800 - PPO
    • my Blue Access PPO Bronze 3800 + Adult Dental and Vision - PPO
    • my Blue Access PPO Bronze 7100 HSA - Custom Drug Benefit - PPO
    • my Blue Access PPO Bronze 8900 - PPO
  • Highmark Blue Cross Blue Shield West Virginia

    • my Blue Access WV Major Events PPO Catastrophic 9450 - 3 Free PCP Visits - PPO
    • my Blue Access WV PPO Bronze 3800 - PPO
    • my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
    • my Blue Access WV PPO Bronze 7100 HSA - Custom Drug Benefit - PPO
    • my Blue Access WV PPO Bronze 8900 - PPO
  • HMO Louisiana

    • Blue Connect 70/50 $4550 (L) - POS
    • Blue Connect 70/50 $4550 (N) - POS
    • Blue Connect 70/50 $4550 (S) - POS
    • Blue Connect 80/60 $3400 (L) - POS
    • Blue Connect 80/60 $3400 (N) - POS
  • Humana

    • Humana Dental Smart Choice - PPO
    • Humana Dental Smart Choice - High - PPO
    • Humana Dental Smart Choice - Lite - PPO
    • Humana Dental Smart Choice - Low - PPO
  • MedMutual

    • Market HMO 2500 - HMO
    • Market HMO 3850 - HMO
    • Market HMO 4000 HSA - HMO
    • Market HMO 6900 - HMO
    • Market HMO 7300 HSA - HMO
  • Priority Health

    • MyPriority Balanced Silver - HMO
    • MyPriority Balanced Silver Bronson Healthcare Partners - HMO
    • MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
    • MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
    • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • Sendero Health Plans, Local Nonprofit

    • Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Gen Rx / $0 Deductible - HMO
    • Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Gen Rx - HMO
    • Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Gen Rx - HMO
    • Sendero Health Ideal Bronze / $25 PCP / $11 Gen Rx - HMO
    • Sendero Health Original Silver / $20 PCP / $10 Gen Rx - HMO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Insulin) - HMO
    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) - EPO
    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIRA L TAYLOR

Authorized Official Title
MANAGER
Authorized Official Phone
(217) 709-2351

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
471462MEDICAID (05)TX 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20382257
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Infusion Drugs -
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Reviews for WALGREENS #21484

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255017406
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105011440
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 0 + 1 + 1 + 4 + 4 + 0 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1255017406 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013080589BROOKSHIRE GROCERY COMPANY
Organization
Pharmacy (Community/Retail Pharmacy)1310 N BRAZOS ST ATTENTION PHARMACY DEPT
WHITNEY, TX 76692
(254) 694-4413
1952948200 LISA CANNON
Individual
Pharmacist1310 N BRAZOS ST
WHITNEY, TX 76692
(254) 694-4413
1861039828 GINA PIERCE
Individual
Pharmacist1310 N BRAZOS ST
WHITNEY, TX 76692
(254) 694-4413

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255017406, enumerated in the NPI registry as an "organization" on June 23, 2023

The provider is located at 1310 N Brazos St Whitney, Tx 76692 and the phone number is (254) 694-4413

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Absolute Total. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 23, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.