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WALGREENS #21435
NPI 1457088825
Pharmacy in West Jordan, UT

Active since August 04, 2022CLIA 46D2011525 · Waiver
4701 W 6200 SOUTH, WEST JORDAN, UT 84084(217) 709-2351 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2022, Aug 4, 2022 (2 updates tracked since 2022).

About Walgreens #21435 NPPES

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

WALGREENS #21435 (NPI 1457088825) is a healthcare organization registered as a pharmacy in West Jordan, Utah and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through April 6, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1457088825
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address4701 W 6200 SOUTHWest Jordan, UT 84084
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2351
Phone(217) 709-2351
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateAugust 4, 2022
Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1457088825 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
4701 W 6200 SOUTH, West Jordan, UT 84084
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Other Names 1

Doing Business AsWalgreens #21435

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans 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 46D2011525

Walgreens #05875 · West Jordan, UT
Active · expires Apr 6, 2027
CLIA Number46D2011525
Laboratory TypePharmacy
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorAshley L. Byzard
Laboratory Phone(801) 566-7663
Laboratory LocationWalgreens #058757794 Redwood Rd, West Jordan, UT 84084
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1457088825. It was assigned to this organization in the NPPES registry on August 4, 2022. The provider is doing business as Walgreens #21435.

Where is Walgreen Co. located?

Walgreen Co. is located at 4701 W 6200 South, West Jordan, UT 84084. The listed phone number is (217) 709-2351.

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 46D2011525) is associated with this NPI, valid through April 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walgreen Co. accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Kansas City and 5 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 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.