WALGREENS #12821
NPI 1407088800
Pharmacy in Maryville, MO

Active since August 18, 2009
1114 S MAIN ST, MARYVILLE, MO 64468(660) 562-2157 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2019, Jun 15, 2018, May 14, 2018 and 1 more (4 updates tracked since 2016).

About Walgreens #12821 NPPES

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

WALGREENS #12821 (NPI 1407088800) is a healthcare organization registered as a pharmacy in Maryville, Missouri and active in the NPI registry since August 2009. The organization lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1407088800
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1114 S MAIN STMaryville, MO 64468-2602
Mailing Address1901 E Voorhees St, M/s 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateAugust 18, 2009
Last NPPES UpdateApril 8, 20194 updates tracked since enumeration
NPI 1407088800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in MO · 2009030178
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
1114 S MAIN ST, Maryville, MO 64468

Other Names 1

Doing Business AsWalgreens #12821

Other Identifiers 2

Other2638801MO · Ncpdp
Medicaid606443604MO

Other Providers at the Same Location NPPES 2

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

Pharmacist
1114 S MAIN ST
MARYVILLE, MO 64468
Pharmacist
1114 S MAIN ST
MARYVILLE, MO 64468

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 1407088800. It was assigned to this organization in the NPPES registry on August 18, 2009. The provider is doing business as Walgreens #12821.

Where is Walgreen Co located?

Walgreen Co is located at 1114 S Main St, Maryville, MO 64468. The listed phone number is (660) 562-2157.

What is Walgreen Co's specialty?

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

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on April 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.