1. Home
  2. Directory
  3. Texas
  4. San Angelo
  5. Pharmacy
  6. NPI Profile

WALGREENS #12982
NPI 1609125111
Pharmacy in San Angelo, TX

Active since August 30, 2012
2828 N BRYANT BLVD, SAN ANGELO, TX 76903(325) 655-4957(325) 659-5159 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 23, 2023, Apr 8, 2022, Jun 10, 2019 and 2 more (5 updates tracked since 2016).

About Walgreens #12982 NPPES

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

WALGREENS #12982 (NPI 1609125111) is a healthcare organization registered as a pharmacy in San Angelo, Texas and active in the NPI registry since August 2012. The organization lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1609125111
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address2828 N BRYANT BLVDSan Angelo, TX 76903-2865
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(325) 655-4957
Fax(325) 659-5159
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 30, 2012
Last NPPES UpdateFebruary 23, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1609125111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in TX · 28203
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 ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
2828 N BRYANT BLVD, San Angelo, TX 76903
Open in Google Maps ↗

Other Names 1

Doing Business AsWalgreens #12982

Other Identifiers 3

Other5906865TX · Ncpdp
Medicaid466846TX
Medicaid468882TX

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. ADENIKE MERCY ALAOFIN PHARMD
Pharmacist
2828 N BRYANT BLVD
SAN ANGELO, TX 76903
Tom Green County (325) 655-4957
JOHN PAUL SUPAK PHARM.D.
Pharmacist
2828 N BRYANT BLVD
SAN ANGELO, TX 76903
Tom Green County (325) 655-4957

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 1609125111. It was assigned to this organization in the NPPES registry on August 30, 2012. The provider is doing business as Walgreens #12982.

Where is Walgreen Co located?

Walgreen Co is located at 2828 N Bryant Blvd, San Angelo, TX 76903. The listed phone number is (325) 655-4957.

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 February 23, 2023. 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.