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WALGREEN CO
NPI 1447774385
Pharmacy in Syracuse, NY

Active since August 02, 2017CLIA 33D2309796 · Waiver
602 NOTTINGHAM RD, SYRACUSE, NY 13224(315) 446-4820(315) 251-2251 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 8, 2022, Apr 1, 2019, Aug 8, 2018 and 4 more (7 updates tracked since 2017).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1447774385), doing business as Walgreens #19349, is a healthcare organization registered as a pharmacy in Syracuse, New York and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1447774385
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address602 NOTTINGHAM RDSyracuse, NY 13224-2234
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(315) 446-4820
Fax(315) 251-2251
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 2, 2017
Last NPPES UpdateJune 24, 20267 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1447774385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 036292
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
602 NOTTINGHAM RD, Syracuse, NY 13224
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Other Names 1

Doing Business AsWalgreens #19349

Other Identifiers 2

Other5823085NY · Ncpdp
Medicaid05036939NY

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 33D2309796

Walgreens No 19349 · Syracuse, NY
Active · expires Mar 26, 2027
CLIA Number33D2309796
Laboratory TypePharmacy
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Zeiad A. Fakhouri
Laboratory Phone(315) 446-4820
Laboratory LocationWalgreens No 19349602 Nottingham Rd, Syracuse, NY 13224
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 #19349 carries, from the Medicare DMEPOS supplier directory.

Walgreens #19349

DMEPOS supplier · Syracuse, NYOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #19349 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)20381543
Medicare Participant SinceMarch 1, 2022
Supplier Location602 Nottingham RdSyracuse, NY 13224
Phone(315) 446-4820
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 9

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

DR. KYLEE BANASZEK PHARMD
Pharmacist
602 NOTTINGHAM RD
SYRACUSE, NY 13224
Onondaga County (315) 446-4820
KASSANDRA LYNN THOMAS
Pharmacist
602 NOTTINGHAM RD
SYRACUSE, NY 13224
Onondaga County (315) 446-4820
AARON THOMAS DIMEZZO
Pharmacist
602 NOTTINGHAM RD
SYRACUSE, NY 13224
Onondaga County (315) 446-4820
BREAHNA NELSON PHARMD
Pharmacist
602 NOTTINGHAM RD
SYRACUSE, NY 13224
Onondaga County (315) 446-4820
MIA BERSANI
Pharmacist
602 NOTTINGHAM RD
SYRACUSE, NY 13224
Onondaga County (315) 446-4820
DR. DIMPLE AMIT SANGANI PHARM D.
Pharmacist
602 NOTTINGHAM RD
SYRACUSE, NY 13224
Onondaga County (315) 446-4820
CAROLINE AWUOR ODAGO RPH
Pharmacist
602 NOTTINGHAM RD
SYRACUSE, NY 13224
Onondaga County (607) 434-6470
TIMOTHY FISH
Pharmacist
602 NOTTINGHAM RD
SYRACUSE, NY 13224
Onondaga County (315) 446-4820

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 1447774385. It was assigned to this organization in the NPPES registry on August 2, 2017. The provider is doing business as Walgreens #19349.

Where is Walgreen Co located?

Walgreen Co is located at 602 Nottingham Rd, Syracuse, NY 13224. The listed phone number is (315) 446-4820.

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 #19349 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 33D2309796) is associated with this NPI, valid through March 26, 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 39 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 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.