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WALGREEN CO
NPI 1437164548
Pharmacy in Niles, MI

Active since July 29, 2006CLIA 23D2011302 · Waiver
907 S 11TH ST, NILES, MI 49120(269) 683-0234(269) 683-6795 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2026, Nov 8, 2023, Mar 8, 2022 (3 updates tracked since 2022).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1437164548), doing business as Walgreens #03364, is a healthcare organization registered as a pharmacy in Niles, Michigan and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1437164548
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address907 S 11TH STNiles, MI 49120-3402
Mailing Address1901 E Voorhees St, Mailstop #790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(269) 683-0234
Fax(269) 683-6795
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 29, 2006
Last NPPES UpdateJune 3, 20263 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1437164548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MI · 5301006111
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
907 S 11TH ST, Niles, MI 49120
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Other Names 1

Doing Business AsWalgreens #03364

Other Identifiers 4

Medicaid3065831MI
Medicaid4809035 DMEMI
Medicaid200872880AIN
Other2352932Other 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 23D2011302

Walgreens #03364 · Niles, MI
Active · expires Oct 11, 2027
CLIA Number23D2011302
Laboratory TypePharmacy
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorRaul Morales
Laboratory Phone(269) 683-0234
Laboratory LocationWalgreens #03364907 S 11th St, Niles, MI 49120
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
397 services397 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.
249 services249 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
121 services121 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
24 services24 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
24 services24 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #3364 carries, from the Medicare DMEPOS supplier directory.

Walgreens #3364

DMEPOS supplier · Niles, MIOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #3364 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)20361575
Medicare Participant SinceMarch 1, 2022
Supplier Location907 S 11th StNiles, MI 49120
Phone(269) 683-0234
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 8

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

MRS. ANNETTE MARIE FROST RPH
Pharmacist
907 S 11TH ST
NILES, MI 49120
Berrien County (279) 683-0234
ERICA LYNN RODRIGUEZ PHARMD
Pharmacist
907 S 11TH ST
NILES, MI 49120
Berrien County (269) 683-0234
PAIGE NICHOLE STAMA PHARMD
Pharmacist
907 S 11TH ST
NILES, MI 49120
Berrien County (269) 683-0234
JOSHUA WINGATE
Pharmacist
907 S 11TH ST
NILES, MI 49120
Berrien County (269) 683-0234
DR. LINDSEY SCHRADER
Pharmacist
907 S 11TH ST
NILES, MI 49120
Berrien County (269) 683-0234
MR. ROBERT ANTHONY MILLER PHARMACIST
Pharmacist
907 S 11TH ST
NILES, MI 49120
Berrien County (269) 683-0234
DR. ANDREA MAXINE MARTIN PHARMD
Pharmacist
907 S 11TH ST
NILES, MI 49120
Berrien County (269) 683-0234
JOSEPH YONGJU LEE
Pharmacist
907 S 11TH ST
NILES, MI 49120
Berrien County (269) 683-0234

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 1437164548. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #03364.

Where is Walgreen Co located?

Walgreen Co is located at 907 S 11th St, Niles, MI 49120. The listed phone number is (269) 683-0234.

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 #3364 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 23D2011302) is associated with this NPI, valid through October 11, 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 42 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 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.