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WALGREENS #21290
NPI 1588679583
Pharmacy in Maple Heights, OH

Active since July 29, 2006
15500 BROADWAY AVE, MAPLE HEIGHTS, OH 44137(216) 663-5103(216) 663-1260 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walgreens #21290 NPPES

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

WALGREENS #21290 (NPI 1588679583) is a healthcare organization registered as a pharmacy in Maple Heights, Ohio and active in the NPI registry since July 2006. The organization lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1588679583
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address15500 BROADWAY AVEMaple Heights, OH 44137-1120
Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(216) 663-5103
Fax(216) 663-1260
Organization SubpartYesParent: Walgreens Boots Alliance Inc.
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 29, 2006
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1588679583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in OH · 20796400
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
15500 BROADWAY AVE, Maple Heights, OH 44137
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Other Names 1

Doing Business AsWalgreens #21290

Other Identifiers 2

Other3659868Other Id Number-commercial Number
Medicaid0978670OH

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 2

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

DR. TREVOR WILSON PHARMD
Pharmacist
15500 BROADWAY AVE
MAPLE HEIGHTS, OH 44137
Cuyahoga County (216) 663-5103
DR. SARRAH ANN GESSLER PHARMD
Pharmacist
15500 BROADWAY AVE
MAPLE HEIGHTS, OH 44137
Cuyahoga County (216) 663-5103

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 1588679583. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #21290.

Where is Walgreen Co located?

Walgreen Co is located at 15500 Broadway Ave, Maple Heights, OH 44137. The listed phone number is (216) 663-5103.

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 14, 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.