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WALGREENS #04763
NPI 1679580559
Pharmacy in Las Vegas, NV

Active since August 02, 2006
3765 LAS VEGAS BLVD S, LAS VEGAS, NV 89109(702) 739-9645 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2022, Nov 13, 2015 (2 updates tracked since 2015).

About Walgreens #04763 NPPES

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

WALGREENS #04763 (NPI 1679580559) is a healthcare organization registered as a pharmacy in Las Vegas, Nevada and active in the NPI registry since August 2006. The organization lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1679580559
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3765 LAS VEGAS BLVD SLas Vegas, NV 89109-4320
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(702) 739-9645
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateAugust 2, 2006
Last NPPES UpdateApril 13, 20222 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
✔ NPI 1679580559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NV · PH1352
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
3765 LAS VEGAS BLVD S, Las Vegas, NV 89109
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Other Names 1

Doing Business AsWalgreens #04763

Other Identifiers 5

Other3302784NV · Dme
Medicaid1208019LA
Medicaid2802784NV
Other2968800Other Id Number-commercial Number
Medicaid100400003AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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.

DAITRANG DO
Pharmacist
3765 LAS VEGAS BLVD S
LAS VEGAS, NV 89109
Clark County (702) 739-9645
DAVID LE
Pharmacist
3765 LAS VEGAS BLVD S
LAS VEGAS, NV 89109
Clark County (702) 739-9645

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 1679580559. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Walgreens #04763.

Where is Walgreen Co located?

Walgreen Co is located at 3765 Las Vegas Blvd S, Las Vegas, NV 89109. The listed phone number is (702) 739-9645.

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 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 with the weekly NPPES data releases published by CMS.