WALGREENS #15966
NPI 1417694738
Pharmacy in Dallas, TX

Q: What is Walgreen Co.'s NPI number?

The NPI number for Walgreen Co. is 1417694738. It was assigned to this organization in the NPPES registry on May 18, 2022. The provider is doing business as Walgreens #15966.

Q: What is Walgreen Co.'s specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co. was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 18, 2022CLIA 45D2310306 · Waiver

5301 W LOVERS LN STE 101, DALLAS, TX 75209(214) 416-3405 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2023, Jun 8, 2022, May 18, 2022 (3 updates tracked since 2022).

On this page

About Walgreens #15966 NPPES

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

WALGREENS #15966 (NPI 1417694738) is a healthcare organization registered as a pharmacy in Dallas, Texas and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through August 29, 2026 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1417694738

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO.

Location Address5301 W LOVERS LN STE 101Dallas, TX 75209-4205

Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(214) 416-3405

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira L TaylorManager · (217) 709-2351

Enumeration DateMay 18, 2022

Last NPPES UpdateAugust 14, 20233 updates tracked since enumeration

NPPES CertifiedAugust 14, 2023

✔ NPI 1417694738 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

5301 W LOVERS LN STE 101, Dallas, TX 75209

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Other Names 1

Doing Business AsWalgreens #15966

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.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 45D2310306

Walgreens 15966 · Dallas, TX

Active · expires Aug 29, 2026

CLIA Number45D2310306

Laboratory TypePharmacy

Certificate Effective DateAugust 30, 2024

Certificate Expiration DateAugust 29, 2026

Laboratory DirectorKaitlyn Tien Vo

Laboratory Phone(214) 416-3405

Laboratory LocationWalgreens 159665301 W Lovers Ln, Dallas, TX 75209

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 #15966 carries, from the Medicare DMEPOS supplier directory.

Walgreens #15966

DMEPOS supplier · Dallas, TXOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #15966 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)20382071

Medicare Participant SinceMarch 1, 2022

Supplier Location5301 W Lovers Ln Ste 101Dallas, TX 75209

Phone(214) 416-3405

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.

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 1417694738. It was assigned to this organization in the NPPES registry on May 18, 2022. The provider is doing business as Walgreens #15966.

Where is Walgreen Co. located?

Walgreen Co. is located at 5301 W Lovers Ln Ste 101, Dallas, TX 75209. The listed phone number is (214) 416-3405.

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 #15966 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 45D2310306) is associated with this NPI, valid through August 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 44 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 August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.