NISSAN FAMILY PHARMACY #12952
NPI 1669527677
Pharmacy - Community/Retail Pharmacy in Canton, MS

Active since January 23, 2007CLIA 25D2151963 · Waiver
300 NISSAN DR, CANTON, MS 39046(601) 407-1545(601) 407-1550 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nissan Family Pharmacy #12952 NPPES

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

NISSAN FAMILY PHARMACY #12952 (NPI 1669527677) is a healthcare organization registered as a community/retail pharmacy in Canton, Mississippi and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through July 30, 2026 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1669527677
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREEN CO
Location Address300 NISSAN DRCanton, MS 39046-8562
Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(601) 407-1550
Organization SubpartYes
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJanuary 23, 2007
Last NPPES UpdateApril 8, 2022
NPPES CertifiedApril 8, 2022
NPI 1669527677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in MS · 05763 0.26
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

300 NISSAN DR, Canton, MS 39046

Other Names 1

Doing Business AsNissan Family Pharmacy #12952

Other Identifiers 1

Other2521323MS · Ncpdp

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 25D2151963

Nissan Family Pharmacy · Canton, MS
Active · expires Jul 30, 2026
CLIA Number25D2151963
Laboratory TypePharmacy
Certificate Effective DateJuly 31, 2024
Certificate Expiration DateJuly 30, 2026
Laboratory DirectorCarla G. Smith
Laboratory Phone(601) 407-1545
Laboratory LocationNissan Family Pharmacy300 Nissan Drive, Canton, MS 39046
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Pharmacist
300 NISSAN DR
CANTON, MS 39046
Pharmacist
300 NISSAN DR
CANTON, MS 39046
Physical Therapist
300 NISSAN DR
CANTON, MS 39046
Nurse Practitioner
300 NISSAN DR
CANTON, MS 39046

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 1669527677. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Nissan Family Pharmacy #12952.

Where is Walgreen Co located?

Walgreen Co is located at 300 Nissan Dr, Canton, MS 39046. The listed phone number is (601) 407-1545.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2151963) is associated with this NPI, valid through July 30, 2026. 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 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.