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WALGREENS #15080
NPI 1417962663
Pharmacy in Burbank, IL

Active since July 29, 2006CLIA 14D2056260 · Waiver
5555 W 79TH ST, BURBANK, IL 60459(708) 499-3755(708) 499-1309 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 26, 2022, Jan 14, 2016 (2 updates tracked since 2016).

About Walgreens #15080 NPPES

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

WALGREENS #15080 (NPI 1417962663) is a healthcare organization registered as a pharmacy in Burbank, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1417962663
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address5555 W 79TH STBurbank, IL 60459-1301
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(708) 499-3755
Fax(708) 499-1309
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 29, 2006
Last NPPES UpdateApril 26, 20222 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
✔ NPI 1417962663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in IL · 54011225
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
5555 W 79TH ST, Burbank, IL 60459
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Other Names 1

Doing Business AsWalgreens #15080

Other Identifiers 2

Medicaid362127039296IL
Other1461906Other Id Number-commercial Number

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 14D2056260

Walgreens #15080 · Burbank, IL
Active · expires Apr 13, 2027
CLIA Number14D2056260
Laboratory TypePharmacy
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorBinitabahen A. Patel
Laboratory Phone(708) 499-3755
Laboratory LocationWalgreens #150805555 W 79th St, Burbank, IL 60459
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

JESSICA BACHLEDA-PRAZEC PHARMD
Pharmacist
5555 W 79TH ST
BURBANK, IL 60459
Cook County (708) 499-3755
JOANNA KACZMARCZYK
Pharmacist
5555 W 79TH ST
BURBANK, IL 60459
Cook County (708) 499-3755

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 1417962663. It was assigned to this organization in the NPPES registry on July 29, 2006.

Where is Walgreen Co located?

Walgreen Co is located at 5555 W 79th St, Burbank, IL 60459. The listed phone number is (708) 499-3755.

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 14D2056260) is associated with this NPI, valid through April 13, 2027. 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 40 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 April 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.