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WALGREENS #21566
NPI 1477239093
Pharmacy in Fate, TX

Active since June 27, 2023CLIA 45D2307527 · Waiver

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Walgreens #21566 NPPES

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

WALGREENS #21566 (NPI 1477239093) is a healthcare organization registered as a pharmacy in Fate, Texas and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through July 9, 2028 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1477239093
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address5100 I 30 EFate, TX 75189-8516
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2494
Phone(469) 530-6152
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJune 27, 2023
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1477239093 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
5100 I 30 E, Fate, TX 75189
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Other Names 1

Doing Business AsWalgreens #21566

Other Identifiers 1

Medicaid471453TX

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 45D2307527

Walgreens #21566 · Fate, TX
Active · expires Jul 9, 2028
CLIA Number45D2307527
Laboratory TypePharmacy
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorBranda Truong
Laboratory Phone(469) 530-6154
Laboratory LocationWalgreens #215665100 East I-30, Fate, TX 75189
CLIA data matches this NPI record on: Name
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 #21566 carries, from the Medicare DMEPOS supplier directory.

Walgreens #21566

DMEPOS supplier · Fate, TXOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #21566 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)20381987
Medicare Participant SinceMarch 1, 2022
Supplier Location5100 East I-30Fate, TX 75189
Phone(469) 530-6152
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 1477239093. It was assigned to this organization in the NPPES registry on June 27, 2023. The provider is doing business as Walgreens #21566.

Where is Walgreen Co. located?

Walgreen Co. is located at 5100 I 30 E, Fate, TX 75189. The listed phone number is (469) 530-6152.

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 #21566 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 45D2307527) is associated with this NPI, valid through July 9, 2028. 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 45 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 January 31, 2024. 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.