WALGREENS #19962
NPI 1689190878
Pharmacy in Syracuse, NY

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1689190878. It was assigned to this organization in the NPPES registry on August 18, 2017. The provider is doing business as Walgreens #19962.

Q: What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: 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.

Active since August 18, 2017

522 W ONONDAGA ST, SYRACUSE, NY 13204(315) 475-1366(315) 478-7210 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: Jan 9, 2020, Aug 10, 2018, Jun 16, 2018 and 2 more (5 updates tracked since 2017).

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About Walgreens #19962 NPPES

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

WALGREENS #19962 (NPI 1689190878) is a healthcare organization registered as a pharmacy in Syracuse, New York and active in the NPI registry since August 2017. The organization lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1689190878

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address522 W ONONDAGA STSyracuse, NY 13204-3225

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(315) 475-1366

Fax(315) 478-7210

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira TaylorManager · (217) 709-2351

Enumeration DateAugust 18, 2017

Last NPPES UpdateJune 13, 20225 updates tracked since enumeration

NPPES CertifiedJune 13, 2022

✔ NPI 1689190878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NY · 036288

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

522 W ONONDAGA ST, Syracuse, NY 13204

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Other Names 1

Doing Business AsWalgreens #19962

Other Identifiers 2

Other5823314NY · Ncpdp

Medicaid05020484NY

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 7

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

RACHEL ALEXIS PROSSER

Pharmacist