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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WALGREEN CO.
NPI 1760646079
Pharmacy in London, KY

Active since July 16, 2008CLIA 18D2038641 · Waiver
1775 HIGHWAY 192 W, LONDON, KY 40741(606) 877-2727(606) 877-2737 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2023, Dec 6, 2017, Jan 12, 2016 (3 updates tracked since 2016).

About Walgreen Co. NPPES

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

WALGREEN CO. (NPI 1760646079), doing business as Walgreens #12152, is a healthcare organization registered as a pharmacy in London, Kentucky and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1760646079
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address1775 HIGHWAY 192 WLondon, KY 40741-1676
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(606) 877-2727
Fax(606) 877-2737
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 16, 2008
Last NPPES UpdateJune 12, 20263 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
✔ NPI 1760646079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in KY · P07296
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 ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1775 HIGHWAY 192 W, London, KY 40741
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Other Names 1

Doing Business AsWalgreens #12152

Other Identifiers 3

Other1830795Ncpdp
Medicaid7100055870KY
Other7100063220KY · Ky Medicaid Dme

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 18D2038641

Walgreens #12152 · London, KY
Active · expires Apr 13, 2027
CLIA Number18D2038641
Laboratory TypePharmacy
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorMr. Jared S. Masters
Laboratory Phone(606) 877-2727
Laboratory LocationWalgreens #121521775 Highway 192 W, London, KY 40741
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
237 services232 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
140 services136 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
81 services81 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
36 services36 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
36 services36 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #12152 carries, from the Medicare DMEPOS supplier directory.

Walgreens #12152

DMEPOS supplier · London, KYOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #12152 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)20387411
Medicare Participant SinceMarch 1, 2022
Supplier Location1775 Highway 192 WLondon, KY 40741
Phone(606) 877-2727
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 6

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

TIMOTHY SCOTT LAWSON
Pharmacist
1775 HIGHWAY 192 W
LONDON, KY 40741
Laurel County (606) 877-2727
BARBARA JO NELSON PHARMD
Pharmacist
1775 HIGHWAY 192 W
LONDON, KY 40741
Laurel County (606) 877-2727
ALYSSA ALLISON RADFORD PHARMD
Pharmacist
1775 HIGHWAY 192 W
LONDON, KY 40741
Laurel County (606) 877-2727
MR. VICTOR HOWARD MINTON R.PH.
Pharmacist
1775 HIGHWAY 192 W
LONDON, KY 40741
Laurel County (606) 877-2727
BREANNA LYNN LAMB
Pharmacist
1775 HIGHWAY 192 W
LONDON, KY 40741
Laurel County (606) 877-2727
KELSEE SMITH PHARMD
Pharmacist
1775 HIGHWAY 192 W
LONDON, KY 40741
Laurel County (606) 877-2727

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 1760646079. It was assigned to this organization in the NPPES registry on July 16, 2008. The provider is doing business as Walgreens #12152.

Where is Walgreen Co. located?

Walgreen Co. is located at 1775 Highway 192 W, London, KY 40741. The listed phone number is (606) 877-2727.

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 #12152 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 18D2038641) is associated with this NPI, valid through April 13, 2027. 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 12, 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.