WALGREENS HEALTHY LIVING PHARMACY
NPI 1780952903
Pharmacy in Deerfield, IL

Active since December 02, 2011CLIA 14D2033272 · Waiver
108 WILMOT RD, DEERFIELD, IL 60015(847) 580-0000(847) 607-0126 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 21, 2022, Jan 14, 2016 (2 updates tracked since 2016).

About Walgreens Healthy Living Pharmacy NPPES

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

WALGREENS HEALTHY LIVING PHARMACY (NPI 1780952903) is a healthcare organization registered as a pharmacy in Deerfield, Illinois and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through November 28, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1780952903
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address108 WILMOT RDDeerfield, IL 60015-5145
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(847) 607-0126
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateDecember 2, 2011
Last NPPES UpdateApril 21, 20222 updates tracked since enumeration
NPPES CertifiedApril 21, 2022
NPI 1780952903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in IL · 054.017815
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
108 WILMOT RD, Deerfield, IL 60015

Other Names 1

Doing Business AsWalgreens Healthy Living Pharmacy

Other Identifiers 1

Other1486287Ncpdp

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 14D2033272

Walgreens # 13933 · Deerfield, IL
Active · expires Nov 28, 2027
CLIA Number14D2033272
Laboratory TypePharmacy
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorJudy Fakhouri
Laboratory Phone(847) 580-0000
Laboratory LocationWalgreens # 13933108 Wilmot Rd, Deerfield, IL 60015
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 20

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

Specialist
108 WILMOT RD
DEERFIELD, IL 60015
Internal Medicine
108 WILMOT RD
DEERFIELD, IL 60015
Internal Medicine
108 WILMOT RD, MS 1820
DEERFIELD, IL 60015
Pharmacist
108 WILMOT RD
DEERFIELD, IL 60015
Pharmacist
108 WILMOT RD
DEERFIELD, IL 60015
Pharmacy
108 WILMOT RD
DEERFIELD, IL 60015
Internal Medicine
108 WILMOT RD
DEERFIELD, IL 60015
Pharmacist
108 WILMOT RD
DEERFIELD, IL 60015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780952903, enumerated as an "organization" on December 02, 2011.

The provider is located at 108 WILMOT RD DEERFIELD, IL 60015 and the phone number is (847) 580-0000.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.