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WALGREENS #11864
NPI 1295944411
Pharmacy - Community/Retail Pharmacy in Colorado Springs, CO

Active since May 22, 2007CLIA 06D2287193 · Waiver
4315 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907(719) 264-1400(719) 264-0197 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2023, Jan 11, 2019, Jan 12, 2016 (3 updates tracked since 2016).

About Walgreens #11864 NPPES

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

WALGREENS #11864 (NPI 1295944411) is a healthcare organization registered as a community/retail pharmacy in Colorado Springs, Colorado and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 9, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1295944411
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREEN CO.
Location Address4315 CENTENNIAL BLVDColorado Springs, CO 80907-3769
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(719) 264-1400
Fax(719) 264-0197
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateMay 22, 2007
Last NPPES UpdateOctober 30, 20233 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1295944411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X · License PD-240000101 (CO)
4315 CENTENNIAL BLVD, Colorado Springs, CO 80907
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Other Names 1

Doing Business AsWalgreens #11864

Other Identifiers 2

Other0601256Ncpdp
Medicaid07603703CO

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 06D2287193

Walgreens 11864 · Colorado Springs, CO
Active · expires Aug 9, 2027
CLIA Number06D2287193
Laboratory TypePharmacy
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorGregory Carter
Laboratory Phone(719) 264-1400
Laboratory LocationWalgreens 118644315 Centennial Blvd, Colorado Springs, CO 80907
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.

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.
186 services186 patients
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.
113 services113 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
60 services60 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
16 services16 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
16 services16 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #11864 carries, from the Medicare DMEPOS supplier directory.

Walgreens #11864

DMEPOS supplier · Colorado Springs, COOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #11864 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)20375321
Medicare Participant SinceMarch 1, 2022
Supplier Location4315 Centennial BlvdColorado Springs, CO 80907
Phone(719) 264-1400
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.

LONGS DRUG STORES CALIFORNIA INC
Pharmacy (Community/Retail Pharmacy)
4315 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
El Paso County (719) 264-9900
MR. JERRY BRET LEWIS RPH
Pharmacist
4315 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
El Paso County (719) 264-1400
ROBIN GAIL WHEELER
Pharmacist
4315 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
El Paso County (719) 264-1400

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 1295944411. It was assigned to this organization in the NPPES registry on May 22, 2007. The provider is doing business as Walgreens #11864.

Where is Walgreen Co. located?

Walgreen Co. is located at 4315 Centennial Blvd, Colorado Springs, CO 80907. The listed phone number is (719) 264-1400.

What is Walgreen Co.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walgreen Co. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #11864 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 06D2287193) is associated with this NPI, valid through August 9, 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 October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.