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WALGREENS #11754
NPI 1922256981
Pharmacy in Crescent City, CA

Active since September 03, 2008
787 L ST, CRESCENT CITY, CA 95531(707) 464-3857(707) 465-1052 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Oct 27, 2023, Oct 10, 2018, Jan 12, 2016 (3 updates tracked since 2016).

About Walgreens #11754 NPPES

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

WALGREENS #11754 (NPI 1922256981) is a healthcare organization registered as a pharmacy in Crescent City, California and active in the NPI registry since September 2008. The organization lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1922256981
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address787 L STCrescent City, CA 95531-2822
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(707) 464-3857
Fax(707) 465-1052
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateSeptember 3, 2008
Last NPPES UpdateOctober 27, 20233 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
✔ NPI 1922256981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in CA · PHY49274
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
787 L ST, Crescent City, CA 95531
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Other Names 1

Doing Business AsWalgreens #11754

Other Identifiers 2

Medicaid1922256981CA
Other5632016Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #11754 carries, from the Medicare DMEPOS supplier directory.

Walgreens #11754

DMEPOS supplier · Crescent City, CAOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #11754 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)20378639
Medicare Participant SinceMarch 1, 2022
Supplier Location787 L StCrescent City, CA 95531
Phone(707) 464-3857
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 8

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

BONNIE MARIE HEINY PHARMD
Pharmacist
787 L ST
CRESCENT CITY, CA 95531
Del Norte County (707) 464-3857
JENNIFER CHEN PHARM D
Pharmacist
787 L ST
CRESCENT CITY, CA 95531
Del Norte County (707) 464-3857
MISS SOPHIA SIU-FUN LOH RPH
Pharmacist
787 L ST
CRESCENT CITY, CA 95531
Del Norte County (707) 464-3857
BRIAN RANDALL GREENOUGH PHARM.D.
Pharmacist
787 L ST
CRESCENT CITY, CA 95531
Del Norte County (707) 464-3857
LAITH HUSEIN ALI AL SUDANY RPH
Pharmacist
787 L ST
CRESCENT CITY, CA 95531
Del Norte County (619) 456-8593
DR. SAM SAZEGAR PHARM D
Pharmacist (Pharmacotherapy)
787 L ST
CRESCENT CITY, CA 95531
Del Norte County (707) 464-3857
VINCENT VINH NGUYEN PHARMD
Pharmacist
787 L ST
CRESCENT CITY, CA 95531
Del Norte County (707) 464-3857
TOAN KIM TRAN
Pharmacist
787 L ST
CRESCENT CITY, CA 95531
Del Norte County (707) 464-3857

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 1922256981. It was assigned to this organization in the NPPES registry on September 3, 2008. The provider is doing business as Walgreens #11754.

Where is Walgreen Co. located?

Walgreen Co. is located at 787 L St, Crescent City, CA 95531. The listed phone number is (707) 464-3857.

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 #11754 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 Medica and Moda Health Plan, Inc. 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 October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.