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WALGREEN CO.
NPI 1629755442
Pharmacy in Pine Bluff, AR

Active since July 03, 2023CLIA 04D2318282 · Waiver
2800 S HAZEL ST, PINE BLUFF, AR 71603(870) 535-4044 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walgreen Co. NPPES

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

WALGREEN CO. (NPI 1629755442), doing business as Walgreens #21547, is a healthcare organization registered as a pharmacy in Pine Bluff, Arkansas and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1629755442
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address2800 S HAZEL STPine Bluff, AR 71603-5007
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2494
Phone(870) 535-4044
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 3, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1629755442 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
2800 S HAZEL ST, Pine Bluff, AR 71603
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Other Names 1

Doing Business AsWalgreens #21547

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 04D2318282

Walgreens #21547 · Pine Bluff, AR
Active · expires Feb 6, 2027
CLIA Number04D2318282
Laboratory TypePharmacy
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorMelissa M. Holley
Laboratory Phone(870) 535-4044
Laboratory LocationWalgreens #215472800 South Hazel Street, Pine Bluff, AR 71603
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #21547 carries, from the Medicare DMEPOS supplier directory.

Walgreens #21547

DMEPOS supplier · Pine Bluff, AROperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #21547 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)20382605
Medicare Participant SinceMarch 1, 2022
Supplier Location2800 S Hazel StPine Bluff, AR 71603
Phone(870) 535-4044
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 2

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

BROOKSHIRE GROCERY COMPANY
Pharmacy (Community/Retail Pharmacy)
2800 S HAZEL ST, ATTENTION PHARMACY DEPT
PINE BLUFF, AR 71603
Jefferson County (870) 535-4044
MELISSA HOLLEY PHARMD
Pharmacist
2800 S HAZEL ST
PINE BLUFF, AR 71603
Jefferson County (870) 535-4044

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 1629755442. It was assigned to this organization in the NPPES registry on July 3, 2023. The provider is doing business as Walgreens #21547.

Where is Walgreen Co. located?

Walgreen Co. is located at 2800 S Hazel St, Pine Bluff, AR 71603. The listed phone number is (870) 535-4044.

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 #21547 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 04D2318282) is associated with this NPI, valid through February 6, 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 43 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 July 3, 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.