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WALGREENS #05357
NPI 1336154350
Pharmacy in Raytown, MO

Active since July 29, 2006CLIA 26D2012528 · Waiver
9300 E GREGORY BLVD, RAYTOWN, MO 64133(816) 356-7386 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 26, 2022, May 11, 2018, Nov 26, 2015 (3 updates tracked since 2015).

About Walgreens #05357 NPPES

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

WALGREENS #05357 (NPI 1336154350) is a healthcare organization registered as a pharmacy in Raytown, Missouri and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1336154350
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address9300 E GREGORY BLVDRaytown, MO 64133-6523
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(816) 356-7386
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 29, 2006
Last NPPES UpdateApril 26, 20223 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
✔ NPI 1336154350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MO · 1999138445
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
9300 E GREGORY BLVD, Raytown, MO 64133
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Other Names 1

Doing Business AsWalgreens #05357

Other Identifiers 4

Other2632823Other Id Number-commercial Number
Medicaid100432730B DMEKS
Medicaid604775809MO
Medicaid624775805 DMEMO

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 26D2012528

Walgreens #05357 · Raytown, MO
Active · expires Apr 25, 2027
CLIA Number26D2012528
Laboratory TypePharmacy
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorMeer L. Husain
Laboratory Phone(816) 356-7386
Laboratory LocationWalgreens #053579300 E Gregory Boulevard, Raytown, MO 64133
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 2

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.
63 services63 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.
41 services41 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · Raytown, MO
✔

Accepts Medicare assignment

Walgreen Co 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)20393591
Medicare Participant SinceMarch 1, 2022
Supplier Location9300 E Gregory BlvdRaytown, MO 64133
Phone(816) 356-7386
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 4

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

ADA HENDRICKS ARNP
Nurse Practitioner
9300 E GREGORY BLVD
RAYTOWN, MO 64133
Jackson County (866) 825-3227
DR. FRANKLINE TIJIEH MUSONGWE PHARM D.
Pharmacist
9300 E GREGORY BLVD
RAYTOWN, MO 64133
Jackson County (816) 356-7386
DR. MEER HUSAIN PHARMD
Pharmacist
9300 E GREGORY BLVD
RAYTOWN, MO 64133
Jackson County (816) 356-7386
DEJA TIANNA STEWART
Pharmacist
9300 E GREGORY BLVD
RAYTOWN, MO 64133
Jackson County (816) 356-7386

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 1336154350. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #05357.

Where is Walgreen Co located?

Walgreen Co is located at 9300 E Gregory Blvd, Raytown, MO 64133. The listed phone number is (816) 356-7386.

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, Walgreen Co 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 26D2012528) is associated with this NPI, valid through April 25, 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 from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 36 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 April 26, 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.