WALGREENS #21373
NPI 1366028995
Pharmacy - Mail Order Pharmacy in Northlake, TX

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1366028995. It was assigned to this organization in the NPPES registry on March 23, 2021. The provider is doing business as Walgreens #21373.

Q: What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Mail Order Pharmacy, with taxonomy code 3336M0002X.

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on October 5, 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.

Active since March 23, 2021

4100 DALE EARNHARDT WAY STE 200, NORTHLAKE, TX 76262(817) 859-1400 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2023, Mar 25, 2021 (2 updates tracked since 2021).

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About Walgreens #21373 NPPES

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

WALGREENS #21373 (NPI 1366028995) is a healthcare organization registered as a mail order pharmacy in Northlake, Texas and active in the NPI registry since March 2021. The organization lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1366028995

Entity TypeOrganization

Primary Taxonomy3336M0002X

Legal Business NameWALGREEN CO

Location Address4100 DALE EARNHARDT WAY STE 200Northlake, TX 76262-2389

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(817) 859-1400

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira TaylorManager · (217) 709-2351

Enumeration DateMarch 23, 2021

Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration

NPPES CertifiedOctober 5, 2023

✔ NPI 1366028995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Mail Order PharmacySuppliers

Taxonomy Code3336M0002X

Definition

A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

4100 DALE EARNHARDT WAY STE 200, Northlake, TX 76262

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Other Names 1

Doing Business AsWalgreens #21373

Other Identifiers 1

Other5933684TX · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

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.

MR. MARSHALL FRANKLIN KOEN III RPH

Pharmacist