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WALGREEN CO
NPI 1477992485
Pharmacy in Rockville, MD

Active since June 24, 2013CLIA 21D2068878 · Waiver
430 HUNGERFORD DR, ROCKVILLE, MD 20850(240) 314-0343(240) 314-0532 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, Apr 26, 2022, Nov 27, 2018 and 1 more (4 updates tracked since 2016).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1477992485), doing business as Walgreens #15117, is a healthcare organization registered as a pharmacy in Rockville, Maryland and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through September 26, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1477992485
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address430 HUNGERFORD DRRockville, MD 20850-4119
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(240) 314-0343
Fax(240) 314-0532
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJune 24, 2013
Last NPPES UpdateJune 3, 20264 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1477992485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MD · P06783
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
430 HUNGERFORD DR, Rockville, MD 20850
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Other Names 1

Doing Business AsWalgreens #15117

Other Identifiers 2

Other2137392Ncpdp
Medicaid322206300MD

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 21D2068878

Walgreens #15117 · Rockville, MD
Active · expires Sep 26, 2027
CLIA Number21D2068878
Laboratory TypePharmacy
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorLindsay Smith
Laboratory Phone(240) 314-0343
Laboratory LocationWalgreens #15117430 Hungerford Drive, Rockville, MD 20850
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 2

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.

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.
16 services16 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.
16 services16 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #15117 carries, from the Medicare DMEPOS supplier directory.

Walgreens #15117

DMEPOS supplier · Rockville, MDOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #15117 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)20357927
Medicare Participant SinceMarch 1, 2022
Supplier Location430 Hungerford DrRockville, MD 20850
Phone(240) 314-0343
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 7

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

ULICES DOMINGUEZ
Pharmacist
430 HUNGERFORD DR
ROCKVILLE, MD 20850
Montgomery County (240) 314-0343
KAR LEUNG MA
Pharmacist
430 HUNGERFORD DR
ROCKVILLE, MD 20850
Montgomery County (240) 314-0343
RASHA RAHMAN ALKHUZAIE PHARMD
Pharmacist
430 HUNGERFORD DR
ROCKVILLE, MD 20850
Montgomery County (240) 314-0343
ROLI PESSU PHARMD
Pharmacist
430 HUNGERFORD DR
ROCKVILLE, MD 20850
Montgomery County (240) 314-0343
WALGREEN CO.
Pharmacy
430 HUNGERFORD DR
ROCKVILLE, MD 20850
Montgomery County (240) 314-0343
DR. MICHAEL DEAN METZMAN PHARMD
Pharmacist
430 HUNGERFORD DR
ROCKVILLE, MD 20850
Montgomery County (240) 314-0343
HYO CHAN PHEE
Pharmacist
430 HUNGERFORD DR
ROCKVILLE, MD 20850
Montgomery County (240) 314-0343

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 1477992485. It was assigned to this organization in the NPPES registry on June 24, 2013. The provider is doing business as Walgreens #15117.

Where is Walgreen Co located?

Walgreen Co is located at 430 Hungerford Dr, Rockville, MD 20850. The listed phone number is (240) 314-0343.

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 #15117 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 21D2068878) is associated with this NPI, valid through September 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 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.