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RITE # 17338
NPI 1407371701
Pharmacy in Shreveport, LA

Active since August 08, 2017CLIA 19D2205623 · Waiver
761 PIERREMONT RD, SHREVEPORT, LA 71106(318) 861-3666(318) 866-2642 Get Directions Write a Review

NPPES record last updated: August 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rite # 17338 NPPES

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

RITE # 17338 (NPI 1407371701) is a healthcare organization registered as a pharmacy in Shreveport, Louisiana and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Alan Nielsen, Ass Treasure, as its authorized official.

NPPES Registry Identity

NPI1407371701
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address761 PIERREMONT RDShreveport, LA 71106-2211
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(318) 861-3666
Fax(318) 866-2642
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlan NielsenAss Treasure · (847) 315-3523
Enumeration DateAugust 8, 2017
✔ NPI 1407371701 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
761 PIERREMONT RD, Shreveport, LA 71106
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Other Names 1

Doing Business AsRite # 17338

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 19D2205623

Walgreens #17338 · Shreveport, LA
Active · expires Dec 14, 2026
CLIA Number19D2205623
Laboratory TypePharmacy
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorDanny Patel
Laboratory Phone(318) 861-3666
Laboratory LocationWalgreens #17338761 Pierremont Road, Shreveport, LA 71106
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 #17338 carries, from the Medicare DMEPOS supplier directory.

Walgreens #17338

DMEPOS supplier · Shreveport, LAOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #17338 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)20381117
Medicare Participant SinceMarch 1, 2022
Supplier Location761 Pierremont RdShreveport, LA 71106
Phone(318) 861-3666
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 11

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

MRS. CANDACE MICHELLE COLE RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
761 PIERREMONT RD
SHREVEPORT, LA 71106
Caddo Parish (318) 861-3666
DR. SARAH ACKERMAN CARTER PHARMD
Pharmacist
761 PIERREMONT RD
SHREVEPORT, LA 71106
Caddo Parish (307) 635-0241
DR. CHARLES ANTHONY JOHNSON PHARM D.
Pharmacist
761 PIERREMONT RD
SHREVEPORT, LA 71106
Caddo Parish (318) 861-3666
FRANK TAYLOR WATSON P.D.
Pharmacist
761 PIERREMONT RD
SHREVEPORT, LA 71106
Caddo Parish (318) 861-3666
DANNY DIPAK PATEL PHARMD
Pharmacist
761 PIERREMONT RD
SHREVEPORT, LA 71106
Caddo Parish (318) 861-3666
SAMANTHA DOYAL PHARM.D
Pharmacist
761 PIERREMONT RD
SHREVEPORT, LA 71106
Caddo Parish (318) 861-3666
MR. STEPHEN MANUEL RPH
Pharmacist
761 PIERREMONT RD
SHREVEPORT, LA 71106
Caddo Parish (318) 861-3311
WALGREEN CO
Pharmacy
761 PIERREMONT RD
SHREVEPORT, LA 71106
Caddo Parish (318) 861-3666

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 1407371701. It was assigned to this organization in the NPPES registry on August 8, 2017. The provider is doing business as Rite # 17338.

Where is Walgreen Co located?

Walgreen Co is located at 761 Pierremont Rd, Shreveport, LA 71106. The listed phone number is (318) 861-3666.

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 #17338 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 19D2205623) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on August 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.