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WALGREENS #04764
NPI 1295741999
Pharmacy in Tucson, AZ

Active since August 01, 2006CLIA 03D2011961 · Waiver
5455 E SPEEDWAY BLVD, TUCSON, AZ 85712(520) 323-7620 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2022, Jan 19, 2017, Nov 23, 2016 and 1 more (4 updates tracked since 2015).

About Walgreens #04764 NPPES

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

WALGREENS #04764 (NPI 1295741999) is a healthcare organization registered as a pharmacy in Tucson, Arizona and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1295741999
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address5455 E SPEEDWAY BLVDTucson, AZ 85712-4923
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(520) 323-7620
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateAugust 1, 2006
Last NPPES UpdateApril 13, 20224 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
✔ NPI 1295741999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in AZ · YO632
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
5455 E SPEEDWAY BLVD, Tucson, AZ 85712
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Other Names 1

Doing Business AsWalgreens #04764

Other Identifiers 2

Medicaid038168AZ
Other0313142Other Id Number-commercial Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..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 03D2011961

Walgreens #04045 · Tucson, AZ
Active · expires Dec 15, 2026
CLIA Number03D2011961
Laboratory TypePharmacy
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorKristian O. Bunyi
Laboratory Phone(520) 461-7710
Laboratory LocationWalgreens #040454685 E Grant Rd, Tucson, AZ 85712
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

MRS. BRANDIE DIANNA GRIFFIN FNP
Nurse Practitioner (Family)
5455 E SPEEDWAY BLVD
TUCSON, AZ 85712
Pima County (520) 505-8912
DIANE HENRICH RPH
Pharmacist
5455 E SPEEDWAY BLVD
TUCSON, AZ 85712
Pima County (520) 323-7620
DAVID RICHARD DRAYTON II PHARM.D
Pharmacist
5455 E SPEEDWAY BLVD
TUCSON, AZ 85712
Pima County (520) 323-7620
JOHN WALKER RPH
Pharmacist
5455 E SPEEDWAY BLVD
TUCSON, AZ 85712
Pima County (520) 323-7620
STEPHANIE IRENE PAVONE PHARM D
Pharmacist
5455 E SPEEDWAY BLVD
TUCSON, AZ 85712
Pima County (520) 323-7620

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 1295741999. It was assigned to this organization in the NPPES registry on August 1, 2006. The provider is doing business as Walgreens #04764.

Where is Walgreen Co located?

Walgreen Co is located at 5455 E Speedway Blvd, Tucson, AZ 85712. The listed phone number is (520) 323-7620.

What is Walgreen Co's specialty?

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

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2011961) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walgreen Co accept?

Health plans from Medica and Moda Health Plan, Inc. 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 April 13, 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.