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WALGREENS # 15243
NPI 1770838518
Pharmacy in Russellville, AR

Active since July 18, 2012CLIA 04D2059424 · Waiver
3202 W MAIN ST, RUSSELLVILLE, AR 72801(479) 880-0181(479) 880-0187 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2022, May 3, 2018, Jan 14, 2016 (3 updates tracked since 2016).

About Walgreens # 15243 NPPES

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

WALGREENS # 15243 (NPI 1770838518) is a healthcare organization registered as a pharmacy in Russellville, Arkansas and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through April 21, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1770838518
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3202 W MAIN STRussellville, AR 72801-2302
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(479) 880-0181
Fax(479) 880-0187
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 18, 2012
Last NPPES UpdateApril 27, 20223 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1770838518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in AR · AR20680
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
3202 W MAIN ST, Russellville, AR 72801
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Other Names 1

Doing Business AsWalgreens # 15243

Other Identifiers 2

Medicaid194147407AR
Other0424010AR · 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 04D2059424

Walgreens #15243 · Russellville, AR
Active · expires Apr 21, 2027
CLIA Number04D2059424
Laboratory TypePharmacy
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorIvelisse Lovett
Laboratory Phone(479) 880-0181
Laboratory LocationWalgreens #152433202 West Main, Russellville, AR 72801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MARK A DUVALL II
Pharmacist
3202 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (479) 880-0180
DR. MICHAEL ANDREW ROLLER PHARM.D.
Pharmacist
3202 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (479) 880-0181
BENJAMIN BARROW
Pharmacist
3202 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (479) 880-0181
MRS. JANICE NICOLE KILE PHARMD
Pharmacist
3202 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (479) 880-0181

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 1770838518. It was assigned to this organization in the NPPES registry on July 18, 2012. The provider is doing business as Walgreens # 15243.

Where is Walgreen Co located?

Walgreen Co is located at 3202 W Main St, Russellville, AR 72801. The listed phone number is (479) 880-0181.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2059424) is associated with this NPI, valid through April 21, 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 44 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 April 27, 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.