STRAUSER DRUGS #15827, POWERED BY WALGREENS
NPI 1407102106
Pharmacy in Sullivan, MO

Active since July 31, 2012CLIA 26D1009674 · Waiver
6 E SPRINGFIELD RD, SULLIVAN, MO 63080(573) 468-6464(573) 468-3809 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Strauser Drugs #15827, Powered By Walgreens NPPES

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

STRAUSER DRUGS #15827, POWERED BY WALGREENS (NPI 1407102106) is a healthcare organization registered as a pharmacy in Sullivan, Missouri and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through August 9, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1407102106
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address6 E SPRINGFIELD RDSullivan, MO 63080-1310
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(573) 468-3809
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 31, 2012
Last NPPES UpdateMay 3, 2022
NPPES CertifiedMay 3, 2022
NPI 1407102106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in MO · 2017006068
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
6 E SPRINGFIELD RD, Sullivan, MO 63080

Other Names 1

Doing Business AsStrauser Drugs #15827, Powered By Walgreens

Other Identifiers 1

Other2640490MO · Ncpdp

Accepted 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 26D1009674

Walgreens #15827 · Sullivan, MO
Active · expires Aug 9, 2027
CLIA Number26D1009674
Laboratory TypePharmacy
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorDanielle K. Scott
Laboratory Phone(573) 468-6464
Laboratory LocationWalgreens #158276 E Springfield Rd, Sullivan, MO 63080
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Pharmacy
6 E SPRINGFIELD RD
SULLIVAN, MO 63080
Pharmacist
6 E SPRINGFIELD RD
SULLIVAN, MO 63080
Pharmacist
6 E SPRINGFIELD RD
SULLIVAN, MO 63080
Pharmacist
6 E SPRINGFIELD RD
SULLIVAN, MO 63080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407102106, enumerated as an "organization" on July 31, 2012.

The provider is located at 6 E SPRINGFIELD RD SULLIVAN, MO 63080 and the phone number is (573) 468-6464.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.