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WALGREENS #21539
NPI 1336828854
Pharmacy in Tyler, TX

Active since July 12, 2023
1105 E GENTRY PKWY, TYLER, TX 75702(903) 535-9467 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walgreens #21539 NPPES

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

WALGREENS #21539 (NPI 1336828854) is a healthcare organization registered as a pharmacy in Tyler, Texas and active in the NPI registry since July 2023. The organization lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1336828854
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address1105 E GENTRY PKWYTyler, TX 75702-4715
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2351
Phone(903) 535-9467
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 12, 2023
Last NPPES UpdateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
✔ NPI 1336828854 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
1105 E GENTRY PKWY, Tyler, TX 75702
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Other Names 1

Doing Business AsWalgreens #21539

Other Identifiers 1

Medicaid471452TX

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 ›

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.

JUAN EDUARDO LOY
Pharmacist
1105 E GENTRY PKWY
TYLER, TX 75702
Smith County (903) 535-9467
BROOKSHIRE GROCERY COMPANY
Pharmacy (Community/Retail Pharmacy)
1105 E GENTRY PKWY, ATTENTION PHARMACY DEPT
TYLER, TX 75702
Smith County (903) 535-9467
HECTOR GUTIERREZ PHARM.D
Pharmacist
1105 E GENTRY PKWY
TYLER, TX 75702
Smith County (903) 535-9467
JACOB WILLIAMSON PHARMD
Pharmacist
1105 E GENTRY PKWY
TYLER, TX 75702
Smith County (903) 535-9467

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 1336828854. It was assigned to this organization in the NPPES registry on July 12, 2023. The provider is doing business as Walgreens #21539.

Where is Walgreen Co. located?

Walgreen Co. is located at 1105 E Gentry Pkwy, Tyler, TX 75702. The listed phone number is (903) 535-9467.

What is Walgreen Co.'s specialty?

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

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 16, 2024. 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.