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WALGREENS #13811
NPI 1659628212
Pharmacy in Springdale, AR

Active since August 13, 2012CLIA 04D2056345 · Waiver
3251 W SUNSET AVE, SPRINGDALE, AR 72762(479) 756-1290(479) 756-1455 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2022, May 3, 2018, Jan 14, 2016 (3 updates tracked since 2016).

About Walgreens #13811 NPPES

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

WALGREENS #13811 (NPI 1659628212) is a healthcare organization registered as a pharmacy in Springdale, Arkansas and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1659628212
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3251 W SUNSET AVESpringdale, AR 72762-4947
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(479) 756-1290
Fax(479) 756-1455
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 13, 2012
Last NPPES UpdateApril 13, 20223 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
✔ NPI 1659628212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in AR · AR20688
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
3251 W SUNSET AVE, Springdale, AR 72762
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Other Names 1

Doing Business AsWalgreens #13811

Other Identifiers 2

Medicaid195523407AR
Other0424060AR · Ncpdp

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 04D2056345

Walgreens #13811 · Springdale, AR
Active · expires Jun 7, 2027
CLIA Number04D2056345
Laboratory TypePharmacy
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorAndrew R. Criswell
Laboratory Phone(479) 756-1290
Laboratory LocationWalgreens #138113251 W Sunset Ave, Springdale, AR 72762
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 #13811 carries, from the Medicare DMEPOS supplier directory.

Walgreens #13811

DMEPOS supplier · Springdale, AROperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #13811 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)20387981
Medicare Participant SinceMarch 1, 2022
Supplier Location3251 W Sunset AveSpringdale, AR 72762
Phone(479) 756-1290
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 6

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

KARA MICHELLE HIGH
Pharmacist
3251 W SUNSET AVE
SPRINGDALE, AR 72762
Washington County (479) 756-1290
DR. CARINA ARUNY PHOUTHAKHIO PHARM D
Pharmacist
3251 W SUNSET AVE
SPRINGDALE, AR 72762
Washington County (479) 756-1290
DR. ANDREW RENFRO CRISWELL PHARMD
Pharmacist
3251 W SUNSET AVE
SPRINGDALE, AR 72762
Washington County (479) 756-1290
TIMOTHY D JENKINS PHARMD
Pharmacist
3251 W SUNSET AVE
SPRINGDALE, AR 72762
Washington County (479) 756-1290
MEGAN CHRISTINE PHILLIPS PHARM D
Pharmacist
3251 W SUNSET AVE
SPRINGDALE, AR 72762
Washington County (479) 756-1290
BROOKE BRUN BECKER PHARMD
Pharmacist
3251 W SUNSET AVE
SPRINGDALE, AR 72762
Washington County (479) 756-1290

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 1659628212. It was assigned to this organization in the NPPES registry on August 13, 2012. The provider is doing business as Walgreens #13811.

Where is Walgreen Co located?

Walgreen Co is located at 3251 W Sunset Ave, Springdale, AR 72762. The listed phone number is (479) 756-1290.

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 #13811 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 04D2056345) is associated with this NPI, valid through June 7, 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 44 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 April 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.