WALGREENS SPECIALTY PHARMACY #16072
NPI 1730452129
Pharmacy in Kansas City, MO

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1730452129. It was assigned to this organization in the NPPES registry on February 15, 2012. The provider is doing business as Walgreens Specialty Pharmacy #16072.

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 November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 February 15, 2012

3537 BROADWAY BLVD, KANSAS CITY, MO 64111(816) 561-1933(816) 753-5938 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2024, Oct 9, 2024, May 4, 2022 and 3 more (6 updates tracked since 2016).

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About Walgreens Specialty Pharmacy #16072 NPPES

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

WALGREENS SPECIALTY PHARMACY #16072 (NPI 1730452129) is a healthcare organization registered as a pharmacy in Kansas City, Missouri and active in the NPI registry since February 2012. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1730452129

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address3537 BROADWAY BLVDKansas City, MO 64111-2501

Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344

Phone(816) 561-1933

Fax(816) 753-5938

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialJennifer PonceManager · (847) 527-2489

Enumeration DateFebruary 15, 2012

Last NPPES UpdateNovember 6, 20246 updates tracked since enumeration

NPPES CertifiedNovember 6, 2024

✔ NPI 1730452129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in MO · 2012013998

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

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

3537 BROADWAY BLVD, Kansas City, MO 64111

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Other Names 1

Doing Business AsWalgreens Specialty Pharmacy #16072

Other Identifiers 3

Other2640161MO · Ncpdp

Medicaid602771404MO

Medicaid100432210YKS

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 ›

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

14 services14 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #16072,specialty Pharmacy carries, from the Medicare DMEPOS supplier directory.

Walgreens #16072,specialty Pharmacy

DMEPOS supplier · Kansas City, MOOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #16072,specialty Pharmacy 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)20389013

Medicare Participant SinceMarch 1, 2022

Supplier Location3537 Broadway BlvdKansas City, MO 64111

Phone(816) 561-1933

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 9

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

DENISE ROQUE PHARMD

Pharmacist