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WALGREEN CO
NPI 1710351895
Pharmacy in Costa Mesa, CA

Active since November 30, 2015CLIA 05D2301490 · Waiver
1726 SUPERIOR AVE, COSTA MESA, CA 92627(949) 629-9714(949) 629-9715 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2023, Oct 9, 2018, Jul 1, 2016 and 4 more (7 updates tracked since 2015).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1710351895), doing business as Walgreens #11652, is a healthcare organization registered as a pharmacy in Costa Mesa, California and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through March 25, 2028 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1710351895
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1726 SUPERIOR AVECosta Mesa, CA 92627-3615
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(949) 629-9714
Fax(949) 629-9715
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateNovember 30, 2015
Last NPPES UpdateJune 9, 20267 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1710351895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in CA · 53777
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
1726 SUPERIOR AVE, Costa Mesa, CA 92627
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Other Names 1

Doing Business AsWalgreens #11652

Other Identifiers 2

Medicaid1710351895CA
Other5658022CA · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.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 05D2301490

Walgreens 11652 · Costa Mesa, CA
Active · expires Mar 25, 2028
CLIA Number05D2301490
Laboratory TypePharmacy
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorAndrew H. Tran
Laboratory Phone(949) 629-9714
Laboratory LocationWalgreens 116521726 Superior Ave, Costa Mesa, CA 92627
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #11652 carries, from the Medicare DMEPOS supplier directory.

Walgreens #11652

DMEPOS supplier · Costa Mesa, CAOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #11652 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)20395913
Medicare Participant SinceMarch 1, 2022
Supplier Location1726 Superior AveCosta Mesa, CA 92627
Phone(949) 629-9714
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 2

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

YUANBO FENG
Pharmacist
1726 SUPERIOR AVE
COSTA MESA, CA 92627
Orange County (949) 629-9714
NASIR QADRI PHARMD
Pharmacist
1726 SUPERIOR AVE
COSTA MESA, CA 92627
Orange County (949) 629-9714

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 1710351895. It was assigned to this organization in the NPPES registry on November 30, 2015. The provider is doing business as Walgreens #11652.

Where is Walgreen Co located?

Walgreen Co is located at 1726 Superior Ave, Costa Mesa, CA 92627. The listed phone number is (949) 629-9714.

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, Walgreens #11652 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 05D2301490) is associated with this NPI, valid through March 25, 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 39 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 June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.