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WALGREENS #03686
NPI 1740295989
Pharmacy in Saint Louis, MO

Active since July 29, 2006
4140 S BROADWAY, SAINT LOUIS, MO 63118(314) 832-4995 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2023, Mar 10, 2022, Apr 4, 2019 and 1 more (4 updates tracked since 2018).

About Walgreens #03686 NPPES

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

WALGREENS #03686 (NPI 1740295989) is a healthcare organization registered as a pharmacy in Saint Louis, Missouri and active in the NPI registry since July 2006. The organization lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1740295989
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address4140 S BROADWAYSaint Louis, MO 63118-4604
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(314) 832-4995
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 29, 2006
Last NPPES UpdateNovember 9, 20234 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1740295989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MO · 2966
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
4140 S BROADWAY, Saint Louis, MO 63118
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Other Names 1

Doing Business AsWalgreens #03686

Other Identifiers 3

Other2602349Other Id Number-commercial Number
Medicaid620402107 DMEMO
Medicaid600402101MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #03686 carries, from the Medicare DMEPOS supplier directory.

Walgreens #03686

DMEPOS supplier · Saint Louis, MOOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #03686 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)20391929
Medicare Participant SinceMarch 1, 2022
Supplier Location4140 S BroadwaySaint Louis, MO 63118
Phone(314) 832-4995
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 3

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

JACLYN MARIE CARR PHARM D
Pharmacist
4140 S BROADWAY
SAINT LOUIS, MO 63118
St. Louis City (314) 832-4995
JAYESH PATEL
Pharmacist
4140 S BROADWAY
SAINT LOUIS, MO 63118
St. Louis City (314) 832-4995
JESSE BURROUGHS PHARMD
Pharmacist
4140 S BROADWAY
SAINT LOUIS, MO 63118
St. Louis City (314) 832-4995

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 1740295989. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #03686.

Where is Walgreen Co located?

Walgreen Co is located at 4140 S Broadway, Saint Louis, MO 63118. The listed phone number is (314) 832-4995.

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 #03686 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 November 9, 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.