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WALGREENS #03245
NPI 1346255684
Pharmacy in Kingman, AZ

Active since July 29, 2006CLIA 03D2239548 · Waiver
3487 N STOCKTON HILL RD, KINGMAN, AZ 86409(928) 692-1822 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2023, Mar 7, 2022, Nov 23, 2016 and 1 more (4 updates tracked since 2015).

About Walgreens #03245 NPPES

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

WALGREENS #03245 (NPI 1346255684) is a healthcare organization registered as a pharmacy in Kingman, Arizona and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1346255684
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3487 N STOCKTON HILL RDKingman, AZ 86409-3681
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(928) 692-1822
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 29, 2006
Last NPPES UpdateOctober 25, 20234 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1346255684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in AZ · YO2622
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
3487 N STOCKTON HILL RD, Kingman, AZ 86409
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Other Names 1

Doing Business AsWalgreens #03245

Other Identifiers 3

Other0320729Other Id Number-commercial Number
Medicaid175960AZ
Medicaid156808407AR

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 03D2239548

Walgreens #03245 · Kingman, AZ
Active · expires Oct 11, 2027
CLIA Number03D2239548
Laboratory TypePharmacy
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorCathy S. Hart
Laboratory Phone(928) 692-1822
Laboratory LocationWalgreens #032453487 N Stockton Hill Rd, Kingman, AZ 86409
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #03245 carries, from the Medicare DMEPOS supplier directory.

Walgreens #03245

DMEPOS supplier · Kingman, AZOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #03245 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)20397533
Medicare Participant SinceMarch 1, 2022
Supplier Location3487 N Stockton Hill RdKingman, AZ 86409
Phone(928) 692-1822
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.

CYNTHIA WUMNAYA-AGAMBA
Pharmacist
3487 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 692-1822
DR. DENNIS NGUYEN
Pharmacist
3487 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 692-1822
MELISSA ANDERSON PHARMD
Pharmacist
3487 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 692-1822
JUSTIN LEE
Pharmacist
3487 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 692-1822
WENDY LUU
Pharmacist
3487 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 692-1822
DR. RHET ADAM POND PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3487 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 692-1822
BRAYDON LARSON PHARMD
Pharmacist
3487 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 692-1822

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 1346255684. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #03245.

Where is Walgreen Co located?

Walgreen Co is located at 3487 N Stockton Hill Rd, Kingman, AZ 86409. The listed phone number is (928) 692-1822.

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, Walgreens #03245 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 03D2239548) is associated with this NPI, valid through October 11, 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 41 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 25, 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.