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WALGREEN CO
NPI 1629085618
Pharmacy in Michigan City, IN

Active since August 02, 2006CLIA 15D2219274 · Waiver
1816 FRANKLIN ST, MICHIGAN CITY, IN 46360(219) 874-2544(219) 878-0165 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, Nov 3, 2023, Jan 11, 2016 (3 updates tracked since 2016).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1629085618) is a healthcare organization registered as a pharmacy in Michigan City, Indiana and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1629085618
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1816 FRANKLIN STMichigan City, IN 46360-4504
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(219) 874-2544
Fax(219) 878-0165
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateAugust 2, 2006
Last NPPES UpdateJune 3, 20263 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1629085618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in IN · 60003944A
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
1816 FRANKLIN ST, Michigan City, IN 46360
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Other Names 1

Other NameWalgreens # 11084

Other Identifiers 4

Medicaid100308190A DMEIN
Other1527110Other Id Number-commercial Number
Medicaid100308190IN
Medicaid4916080 DMEMI

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 15D2219274

Walgreens #11084 · Michigan City, IN
Active · expires Apr 4, 2027
CLIA Number15D2219274
Laboratory TypePharmacy
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorTalitha Azarov
Laboratory Phone(219) 874-2544
Laboratory LocationWalgreens #110841816 Franklin St, Michigan City, IN 46360
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.
11 services11 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.
11 services11 patients

Other Providers at the Same Location NPPES 4

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

KRISTYN KAUCHAK RPH
Pharmacist
1816 FRANKLIN ST
MICHIGAN CITY, IN 46360
Laporte County (219) 874-2544
MR. ERIC JAMES GOODSON R.PH.
Pharmacist
1816 FRANKLIN ST
MICHIGAN CITY, IN 46360
Laporte County (219) 874-2544
MR. ALAN M KOLODIEJ RPH
Pharmacist
1816 FRANKLIN ST
MICHIGAN CITY, IN 46360
Laporte County (219) 874-2544
MARCOS CONTRERAS
Pharmacy Technician
1816 FRANKLIN ST
MICHIGAN CITY, IN 46360
Laporte County (219) 874-2544

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 1629085618. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is also known as Walgreens # 11084.

Where is Walgreen Co located?

Walgreen Co is located at 1816 Franklin St, Michigan City, IN 46360. The listed phone number is (219) 874-2544.

What is Walgreen Co's specialty?

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

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2219274) is associated with this NPI, valid through April 4, 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 40 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.