WALGREEN CO
NPI 1407861644
Pharmacy in Louisville, KY

Active since July 29, 2006CLIA Certified · 2 labs
5201 S 3RD ST, LOUISVILLE, KY 40214(502) 367-6128 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1407861644), doing business as Walgreens #04216, is a healthcare organization registered as a pharmacy in Louisville, Kentucky and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1407861644
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address5201 S 3RD STLouisville, KY 40214-2640
Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 29, 2006
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
NPI 1407861644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in KY · 574
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 ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
5201 S 3RD ST, Louisville, KY 40214

Other Names 1

Doing Business AsWalgreens #04216

Other Identifiers 3

Other1800297Other Id Number-commercial Number
Medicaid9028156900 DMEKY
Medicaid5400468400KY

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 18D2011088

Walgreens #04216 · Louisville, KY
Active · expires May 25, 2027
CLIA Number18D2011088
Laboratory TypePharmacy
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorMr. Akindele A. Olugbenga
Laboratory Phone(502) 361-2349
Laboratory LocationWalgreens #042165201 S 3rd St, Louisville, KY 40214
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D1090178

Walgreens # 05172 · Louisville, KY
Active · expires Apr 9, 2027
CLIA Number18D1090178
Laboratory TypePharmacy
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorMr. Michael D. Holdway
Laboratory Phone(502) 375-9949
Laboratory LocationWalgreens # 051725400 New Cut Rd, Louisville, KY 40214
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services25 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services21 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #04216 carries, from the Medicare DMEPOS supplier directory.

Walgreens #04216

DMEPOS supplier · Louisville, KYOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #04216 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)20353427
Medicare Participant SinceMarch 1, 2022
Supplier Location5201 S 3rd StLouisville, KY 40214
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 7

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

Pharmacist
5201 S 3RD ST
LOUISVILLE, KY 40214
Pharmacist
5201 S 3RD ST
LOUISVILLE, KY 40214
Pharmacist
5201 S 3RD ST
LOUISVILLE, KY 40214
Pharmacist
5201 S 3RD ST
LOUISVILLE, KY 40214
Pharmacist
5201 S 3RD ST
LOUISVILLE, KY 40214
Pharmacist
5201 S 3RD ST
LOUISVILLE, KY 40214
Pharmacist
5201 S 3RD ST
LOUISVILLE, KY 40214

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 1407861644. It was assigned to this organization in the NPPES registry on July 29, 2006.

Where is Walgreen Co located?

Walgreen Co is located at 5201 S 3rd St, Louisville, KY 40214. The listed phone number is (502) 367-6128.

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 #04216 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Walgreen Co accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 38 other insurers 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 June 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.