WALGREENS #11823
NPI 1689903825
Pharmacy in Placerville, CA

Active since December 17, 2009
4220 MISSOURI FLAT RD, PLACERVILLE, CA 95667(530) 344-1062(530) 344-1068 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 27, 2023, Oct 10, 2018, Sep 28, 2015 (3 updates tracked since 2015).

About Walgreens #11823 NPPES

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

WALGREENS #11823 (NPI 1689903825) is a healthcare organization registered as a pharmacy in Placerville, California and active in the NPI registry since December 2009. The organization lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1689903825
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address4220 MISSOURI FLAT RDPlacerville, CA 95667-6269
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(530) 344-1068
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateDecember 17, 2009
Last NPPES UpdateOctober 27, 20233 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
NPI 1689903825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in CA · PHY50229
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
4220 MISSOURI FLAT RD, Placerville, CA 95667

Other Names 1

Doing Business AsWalgreens #11823

Other Identifiers 2

Other5636660Ncpdp
Medicaid1689903825CA

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacist
4220 MISSOURI FLAT RD
PLACERVILLE, CA 95667

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 1689903825. It was assigned to this organization in the NPPES registry on December 17, 2009. The provider is doing business as Walgreens #11823.

Where is Walgreen Co. located?

Walgreen Co. is located at 4220 Missouri Flat Rd, Placerville, CA 95667. The listed phone number is (530) 344-1062.

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 and Moda Health Plan, Inc. 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 October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.