WALGREEN CO
NPI 1770868580
Pharmacy in Riverside, CA

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1770868580. It was assigned to this organization in the NPPES registry on October 13, 2011. The provider is doing business as Walgreens #07990.

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 June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 13, 2011CLIA 05D2256674 · Waiver

1745 UNIVERSITY AVE, RIVERSIDE, CA 92507(951) 684-5661 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 8, 2022, Oct 8, 2018, Dec 29, 2015 (3 updates tracked since 2015).

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About Walgreen Co NPPES

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

WALGREEN CO (NPI 1770868580), doing business as Walgreens #07990, is a healthcare organization registered as a pharmacy in Riverside, California and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1770868580

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address1745 UNIVERSITY AVERiverside, CA 92507-5343

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(951) 684-5661

Organization SubpartYesParent: Walgreens Holding Company

Authorized OfficialKira L TaylorManager · (217) 709-2351

Enumeration DateOctober 13, 2011

Last NPPES UpdateJune 9, 20263 updates tracked since enumeration

NPPES CertifiedJune 9, 2026

✔ NPI 1770868580 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

1745 UNIVERSITY AVE, Riverside, CA 92507

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Other Names 1

Doing Business AsWalgreens #07990

Other Identifiers 2

Medicaid1770868580CA

Other5642257Ncpdp

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 05D2256674

Walgreens #07990 · Riverside, CA

Active · expires Mar 27, 2028

CLIA Number05D2256674

Laboratory TypePharmacy

Certificate Effective DateMarch 28, 2026

Certificate Expiration DateMarch 27, 2028

Laboratory DirectorEsther Y. Kim

Laboratory Phone(951) 684-5661

Laboratory LocationWalgreens #079901745 University Ave, Riverside, CA 92507

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 2

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.

19 services19 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.

11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #07990 carries, from the Medicare DMEPOS supplier directory.

Walgreens #07990

DMEPOS supplier · Riverside, CAOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #07990 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)20384141

Medicare Participant SinceMarch 1, 2022

Supplier Location1745 University AveRiverside, CA 92507

Phone(951) 684-5661

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 7

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

MISS LINH PHUONG HOANG LE

Pharmacy Technician