WALGREENS #21379
NPI 1851475990
Pharmacy - Community/Retail Pharmacy in Pine Bluff, AR

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1851475990. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as Walgreens #21379 and Walgreens #15721.

Q: What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on May 4, 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.

Active since October 25, 2006

5905 DOLLARWAY RD, PINE BLUFF, AR 71602(870) 534-7868(870) 534-4677 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2022, May 3, 2018, Jan 20, 2016 (3 updates tracked since 2016).

On this page

About Walgreens #21379 NPPES

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

WALGREENS #21379 (NPI 1851475990) is a healthcare organization registered as a community/retail pharmacy in Pine Bluff, Arkansas and active in the NPI registry since October 2006. The organization maintains a secondary practice location in Pine Bluff and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1851475990

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWALGREEN CO

Location Address5905 DOLLARWAY RDPine Bluff, AR 71602-3825

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

Phone(870) 534-7868

Fax(870) 534-4677

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira TaylorManager · (217) 709-2351

Enumeration DateOctober 25, 2006

Last NPPES UpdateMay 4, 20223 updates tracked since enumeration

NPPES CertifiedMay 4, 2022

✔ NPI 1851475990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License AR13930 (AR)

Also ListedPharmacyTaxonomy 333600000X · License AR13930 (AR)

5905 DOLLARWAY RD, Pine Bluff, AR 71602

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Other Names 2

Doing Business AsWalgreens #21379

Doing Business AsWalgreens #15721

Secondary Practice Location 1

Location 14720 Dollarway RdPine Bluff, AR 71602-4126 · Phone (870) 534-7868 · Fax (870) 534-4677

Other Identifiers 4

Other123697716AR · Medicaid Dme

Medicaid118502407AR

Other48624AR · Medicare Flu

Other0413930Other Id Number-commercial Number

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 ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #21379 carries, from the Medicare DMEPOS supplier directory.

Walgreens #21379

DMEPOS supplier · Pine Bluff, AROperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #21379 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)20384879

Medicare Participant SinceMarch 1, 2022

Supplier Location5905 Dollarway RdPine Bluff, AR 71602

Phone(870) 534-7868

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 3

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

MANPREET KAUR GHOTRA

Pharmacist

5905 DOLLARWAY RD
PINE BLUFF, AR 71602

Jefferson County (870) 534-7868

TROY JOSEPH BUNGER

Pharmacy Technician

5905 DOLLARWAY RD
PINE BLUFF, AR 71602

Jefferson County (870) 534-7868

DEANNA JANAE' MASSEY RPH

Pharmacist

5905 DOLLARWAY RD
PINE BLUFF, AR 71602

Jefferson County (870) 534-7868

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 1851475990. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as Walgreens #21379 and Walgreens #15721.

Where is Walgreen Co located?

Walgreen Co is located at 5905 Dollarway Rd, Pine Bluff, AR 71602. The listed phone number is (870) 534-7868.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walgreen Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #21379 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 May 4, 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.