1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Pharmacy
  6. NPI Profile

WALGREENS #19297
NPI 1508389602
Pharmacy in Jackson, MS

Active since July 20, 2017
380 W WOODROW WILSON AVE, JACKSON, MS 39213(601) 713-1130(601) 981-9634 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2022, Jun 20, 2018, Jul 20, 2017 (3 updates tracked since 2017).

About Walgreens #19297 NPPES

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

WALGREENS #19297 (NPI 1508389602) is a healthcare organization registered as a pharmacy in Jackson, Mississippi and active in the NPI registry since July 2017. The organization lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1508389602
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address380 W WOODROW WILSON AVEJackson, MS 39213
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(601) 713-1130
Fax(601) 981-9634
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 20, 2017
Last NPPES UpdateJune 7, 20223 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
✔ NPI 1508389602 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
380 W WOODROW WILSON AVE, Jackson, MS 39213
Open in Google Maps ↗

Other Names 1

Doing Business AsWalgreens #19297

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

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.

DR. LUKAS BURKE PHARMD
Pharmacist
380 W WOODROW WILSON AVE
JACKSON, MS 39213
Hinds County (601) 713-1130
MR. MILES GOODE JR. RPH
Pharmacist
380 W WOODROW WILSON AVE
JACKSON, MS 39213
Hinds County (601) 713-1130
DR. TRACI ANN LAWSON PHARM. D.
Pharmacist
380 W WOODROW WILSON AVE
JACKSON, MS 39213
Hinds County (601) 713-1130
DR. MY'ANDRA KIANA BROWN PHARMD
Pharmacist
380 W WOODROW WILSON AVE
JACKSON, MS 39213
Hinds County (601) 713-1130
ESHAN SAFAYA PHARM.D.
Pharmacist
380 W WOODROW WILSON AVE
JACKSON, MS 39213
Hinds County (601) 713-1130
DR. D'ANDREA R CAMPBELL PHARMD
Pharmacist
380 W WOODROW WILSON AVE
JACKSON, MS 39213
Hinds County (601) 713-1130
THINH VU PHARM D
Pharmacist
380 W WOODROW WILSON AVE
JACKSON, MS 39213
Hinds County (601) 713-1130
AMBER SMITH-BUSH PHARMD
Pharmacist
380 W WOODROW WILSON AVE
JACKSON, MS 39213
Hinds County (601) 713-1130

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 1508389602. It was assigned to this organization in the NPPES registry on July 20, 2017. The provider is doing business as Walgreens #19297.

Where is Walgreen Co located?

Walgreen Co is located at 380 W Woodrow Wilson Ave, Jackson, MS 39213. The listed phone number is (601) 713-1130.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Walgreen Co accept?

Health plans from Medica and Moda Health Plan, Inc. 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 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.