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WALGREENS #21165
NPI 1639677230
Pharmacy in Jackson, MS

Active since January 29, 2018
971 LAKELAND DR STE 101, JACKSON, MS 39216(601) 718-1898(601) 718-1899 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2018, Apr 9, 2018 (2 updates tracked since 2018).

About Walgreens #21165 NPPES

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

WALGREENS #21165 (NPI 1639677230) is a healthcare organization registered as a pharmacy in Jackson, Mississippi and active in the NPI registry since January 2018. The organization lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1639677230
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address971 LAKELAND DR STE 101Jackson, MS 39216-4607
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(601) 718-1898
Fax(601) 718-1899
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJanuary 29, 2018
Last NPPES UpdateJune 13, 20222 updates tracked since enumeration
NPPES CertifiedJune 13, 2022
✔ NPI 1639677230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MS · 17010
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
971 LAKELAND DR STE 101, Jackson, MS 39216
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Other Names 1

Doing Business AsWalgreens #21165

Other Identifiers 2

Medicaid08977310MS
Other2591611MS · Ncpdp

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. ANNA RHETT PHARM.D.
Pharmacist
971 LAKELAND DR STE 101
JACKSON, MS 39216
Hinds County (601) 718-1898
FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC
Pharmacy
971 LAKELAND DR STE 101
JACKSON, MS 39216
Hinds County (601) 200-4980

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 1639677230. It was assigned to this organization in the NPPES registry on January 29, 2018. The provider is doing business as Walgreens #21165.

Where is Walgreen Co located?

Walgreen Co is located at 971 Lakeland Dr Ste 101, Jackson, MS 39216. The listed phone number is (601) 718-1898.

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 13, 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.