WALGREENS #21484
NPI 1255017406
Pharmacy in Whitney, TX

Active since June 23, 2023CLIA 45D2183555 · Waiver
1310 N BRAZOS ST, WHITNEY, TX 76692(254) 694-4413 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2024, Jun 23, 2023 (2 updates tracked since 2023).

About Walgreens #21484 NPPES

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

WALGREENS #21484 (NPI 1255017406) is a healthcare organization registered as a pharmacy in Whitney, Texas and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through May 5, 2028 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1255017406
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address1310 N BRAZOS STWhitney, TX 76692-2010
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2494
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJune 23, 2023
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
NPI 1255017406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1310 N BRAZOS ST, Whitney, TX 76692

Other Names 1

Doing Business AsWalgreens #21484

Other Identifiers 1

Medicaid471462TX

Accepted 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 45D2183555

Walgreens # 21484 · Whitney, TX
Active · expires May 5, 2028
CLIA Number45D2183555
Laboratory TypePharmacy
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorLisa D. Cannon
Laboratory Phone(254) 694-4413
Laboratory LocationWalgreens # 214841310 North Brazos Ste 200, Whitney, TX 76692
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 #21484 carries, from the Medicare DMEPOS supplier directory.

Walgreens #21484

DMEPOS supplier · Whitney, TXOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #21484 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)20382257
Medicare Participant SinceMarch 1, 2022
Supplier Location1310 North Brazos StreetWhitney, TX 76692
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.

Pharmacy (Community/Retail Pharmacy)
1310 N BRAZOS ST, ATTENTION PHARMACY DEPT
WHITNEY, TX 76692
Pharmacist
1310 N BRAZOS ST
WHITNEY, TX 76692
Pharmacist
1310 N BRAZOS ST
WHITNEY, TX 76692

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 1255017406. It was assigned to this organization in the NPPES registry on June 23, 2023. The provider is doing business as Walgreens #21484.

Where is Walgreen Co. located?

Walgreen Co. is located at 1310 N Brazos St, Whitney, TX 76692. The listed phone number is (254) 694-4413.

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 #21484 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 45D2183555) is associated with this NPI, valid through May 5, 2028. 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 45 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 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.