WALGREENS #17810
NPI 1407379514
Pharmacy in Louisville, KY

Active since July 20, 2017CLIA 18D2011086 · Waiver
7500 TERRY RD, LOUISVILLE, KY 40258(502) 935-6230(502) 933-4866 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 16, 2022, Feb 13, 2020, Jul 20, 2017 (3 updates tracked since 2017).

About Walgreens #17810 NPPES

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

WALGREENS #17810 (NPI 1407379514) is a healthcare organization registered as a pharmacy in Louisville, Kentucky and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through April 21, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1407379514
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address7500 TERRY RDLouisville, KY 40258-2642
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(502) 933-4866
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 20, 2017
Last NPPES UpdateMay 16, 20223 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
NPI 1407379514 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
7500 TERRY RD, Louisville, KY 40258

Other Names 1

Doing Business AsWalgreens #17810

Other Identifiers 2

Medicaid7100507520KY
OtherPO7926KY · Board Of Pharmacy

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 18D2011086

Walgreens #4163 · Louisville, KY
Active · expires Apr 21, 2027
CLIA Number18D2011086
Laboratory TypePharmacy
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorMr. Branden Simpson
Laboratory Phone(502) 937-3747
Laboratory LocationWalgreens #41637338 Dixie Hwy, Louisville, KY 40258
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Pharmacist
7500 TERRY RD
LOUISVILLE, KY 40258
Pharmacist
7500 TERRY RD
LOUISVILLE, KY 40258
Pharmacist
7500 TERRY RD
LOUISVILLE, KY 40258
Pharmacist
7500 TERRY RD
LOUISVILLE, KY 40258
Pharmacist
7500 TERRY RD
LOUISVILLE, KY 40258
Pharmacist
7500 TERRY RD
LOUISVILLE, KY 40258
Pharmacist
7500 TERRY RD
LOUISVILLE, KY 40258

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 1407379514. It was assigned to this organization in the NPPES registry on July 20, 2017. The provider is doing business as Walgreens #17810.

Where is Walgreen Co located?

Walgreen Co is located at 7500 Terry Rd, Louisville, KY 40258. The listed phone number is (502) 935-6230.

What is Walgreen Co's specialty?

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

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2011086) is associated with this NPI, valid through April 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walgreen Co accept?

Health plans from Moda Health Plan, Inc. 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 May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.