WALGREENS #21159
NPI 1750847869
Pharmacy in Las Vegas, NV

Active since February 13, 2019CLIA 29D2297503 · Waiver
3821 W FLAMINGO RD, LAS VEGAS, NV 89103(702) 854-2178(702) 854-2187 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 30, 2019, Sep 11, 2019, Feb 19, 2019 and 1 more (4 updates tracked since 2019).

About Walgreens #21159 NPPES

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

WALGREENS #21159 (NPI 1750847869) is a healthcare organization registered as a pharmacy in Las Vegas, Nevada and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through January 16, 2028 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1750847869
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3821 W FLAMINGO RDLas Vegas, NV 89103-4009
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(702) 854-2187
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateFebruary 13, 2019
Last NPPES UpdateJune 13, 20224 updates tracked since enumeration
NPPES CertifiedJune 13, 2022
NPI 1750847869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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
3821 W FLAMINGO RD, Las Vegas, NV 89103

Other Names 1

Doing Business AsWalgreens #21159

Other Identifiers 2

Medicaid250004229NV
Other2995390NV · Ncpdp

Accepted 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 29D2297503

Walgreens 21159 · Las Vegas, NV
Active · expires Jan 16, 2028
CLIA Number29D2297503
Laboratory TypePharmacy
Certificate Effective DateJanuary 17, 2026
Certificate Expiration DateJanuary 16, 2028
Laboratory DirectorJayson A. Weir
Laboratory Phone(702) 854-2178
Laboratory LocationWalgreens 211593821 W Flamingo Road, Las Vegas, NV 89103
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 #21159 carries, from the Medicare DMEPOS supplier directory.

Walgreens #21159

DMEPOS supplier · Las Vegas, NVOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #21159 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)20377511
Medicare Participant SinceMarch 1, 2022
Supplier Location3821 W Flamingo RdLas Vegas, NV 89103
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

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

Pharmacist
3821 W FLAMINGO RD
LAS VEGAS, NV 89103

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 1750847869. It was assigned to this organization in the NPPES registry on February 13, 2019. The provider is doing business as Walgreens #21159.

Where is Walgreen Co located?

Walgreen Co is located at 3821 W Flamingo Rd, Las Vegas, NV 89103. The listed phone number is (702) 854-2178.

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 #21159 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 29D2297503) is associated with this NPI, valid through January 16, 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 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.