WALGREENS #04210

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1255346276. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #04210.

Q: What is Walgreen Co's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on March 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Walgreens #04210 NPPES

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

WALGREENS #04210 (NPI 1255346276) is a healthcare organization registered as a pharmacy in Kansas City, Missouri and active in the NPI registry since July 2006. The organization lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1255346276

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address1100 E 63RD STKansas City, MO 64110-3422

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(816) 822-9121

Organization SubpartYesParent: Walgreens Boots Alliance Inc.

Authorized OfficialKira L TaylorManager · (217) 709-2351

Enumeration DateJuly 29, 2006

Last NPPES UpdateMarch 31, 2022

NPPES CertifiedMarch 31, 2022

✔ NPI 1255346276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in MO · 6600

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

1100 E 63RD ST, Kansas City, MO 64110

Open in Google Maps ↗

Other Names 1

Doing Business AsWalgreens #04210

Other Identifiers 3

Medicaid604738708MO

Other2632164Other Id Number-commercial Number

Medicaid624738704 DMEMO

Accepted Insurance

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

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #04210 carries, from the Medicare DMEPOS supplier directory.

DMEPOS supplier · Kansas City, MOOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #04210 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)20391017

Medicare Participant SinceMarch 1, 2022

Supplier Location1100 E 63rd StKansas City, MO 64110

Phone(816) 822-9121

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 7

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

JOANNA GENE VAN PELT

Pharmacist