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WALGREENS #17257
NPI 1417473828
Pharmacy in Mattapan, MA

Active since August 17, 2017
90 RIVER ST, MATTAPAN, MA 02126(617) 298-6634(617) 298-3517 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2022, Feb 20, 2020, Jun 16, 2018 and 2 more (5 updates tracked since 2017).

About Walgreens #17257 NPPES

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

WALGREENS #17257 (NPI 1417473828) is a healthcare organization registered as a pharmacy in Mattapan, Massachusetts and active in the NPI registry since August 2017. The organization lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1417473828
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address90 RIVER STMattapan, MA 02126-2975
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(617) 298-6634
Fax(617) 298-3517
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 17, 2017
Last NPPES UpdateMay 11, 20225 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1417473828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MA · DS90189
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
90 RIVER ST, Mattapan, MA 02126
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Other Names 1

Doing Business AsWalgreens #17257

Other Identifiers 1

Medicaid0402770MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 16

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

MUNIRA YUSUF
Dentist
90 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 698-5437
BINGLAN XUE DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
90 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 698-5437
RANDAL W COLE DMD
Dentist (General Practice)
90 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 698-5437
COURTNEY E IFTIGER DPT
Physical Therapist
90 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 298-2225
NEW ENGLAND FAMILY DENTISTRY, PC
Point of Service
90 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 698-5437
YOUN JOO PARK
Dentist (General Practice)
90 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 698-5437
RUPAL KARANI DMD
Dentist (General Practice)
90 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 698-5437
MRS. CLAUDIA SHEYLA ZEGARRA
Pharmacist
90 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 298-6634

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 1417473828. It was assigned to this organization in the NPPES registry on August 17, 2017. The provider is doing business as Walgreens #17257.

Where is Walgreen Co located?

Walgreen Co is located at 90 River St, Mattapan, MA 02126. The listed phone number is (617) 298-6634.

What is Walgreen Co's specialty?

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

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 11, 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.