WALGREENS #4417
NPI 1669487625
Pharmacy in Fort Worth, TX

Active since July 29, 2006CLIA 45D2061511 · Waiver
8600 CAMP BOWIE WEST BLVD, FORT WORTH, TX 76116(817) 244-0465 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2023, Apr 4, 2022, May 9, 2019 (3 updates tracked since 2019).

About Walgreens #4417 NPPES

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

WALGREENS #4417 (NPI 1669487625) is a healthcare organization registered as a pharmacy in Fort Worth, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1669487625
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address8600 CAMP BOWIE WEST BLVDFort Worth, TX 76116-6102
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 29, 2006
Last NPPES UpdateFebruary 27, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
NPI 1669487625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in TX · 18807
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
8600 CAMP BOWIE WEST BLVD, Fort Worth, TX 76116

Other Names 1

Doing Business AsWalgreens #4417

Other Identifiers 3

Other4504103Other Id Number-commercial Number
Medicaid464151TX
Medicaid468054TX

Accepted 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 45D2061511

Walgreens #04417 · Fort Worth, TX
Active · expires Apr 16, 2028
CLIA Number45D2061511
Laboratory TypeCovid-19 Testing Site
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorHa T. Le
Laboratory Phone(817) 244-0465
Laboratory LocationWalgreens #044178600 Camp Bowie Blvd, Fort Worth, TX 76116
CLIA data matches this NPI record on: 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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services27 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
23 services23 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · Fort Worth, TX

Accepts Medicare assignment

Walgreen Co 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)20390621
Medicare Participant SinceMarch 1, 2022
Supplier Location8600 Camp Bowie West BlvdFort Worth, TX 76116
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 7

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

Pharmacist
8600 CAMP BOWIE WEST BLVD
FORT WORTH, TX 76116
Pharmacist
8600 CAMP BOWIE WEST BLVD
FORT WORTH, TX 76116
Pharmacist
8600 CAMP BOWIE WEST BLVD
FORT WORTH, TX 76116
Pharmacist
8600 CAMP BOWIE WEST BLVD
FORT WORTH, TX 76116
Pharmacist
8600 CAMP BOWIE WEST BLVD
FORT WORTH, TX 76116
Pharmacist
8600 CAMP BOWIE WEST BLVD
FORT WORTH, TX 76116
Pharmacist
8600 CAMP BOWIE WEST BLVD
FORT WORTH, TX 76116

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 1669487625. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #4417.

Where is Walgreen Co located?

Walgreen Co is located at 8600 Camp Bowie West Blvd, Fort Worth, TX 76116. The listed phone number is (817) 244-0465.

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, Walgreen Co 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 45D2061511) is associated with this NPI, valid through April 16, 2028. 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 46 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 February 27, 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.