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WALGREENS #12123
NPI 1942458153
Pharmacy in Boise, ID

Active since August 29, 2008
3395 S FEDERAL WAY, BOISE, ID 83705(208) 319-1043(208) 319-1049 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2016, Jan 12, 2016 (2 updates tracked since 2016).

About Walgreens #12123 NPPES

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

WALGREENS #12123 (NPI 1942458153) is a healthcare organization registered as a pharmacy in Boise, Idaho and active in the NPI registry since August 2008. The organization lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1942458153
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3395 S FEDERAL WAYBoise, ID 83705-5217
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(208) 319-1043
Fax(208) 319-1049
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateAugust 29, 2008
Last NPPES UpdateMarch 29, 20222 updates tracked since enumeration
NPPES CertifiedMarch 29, 2022
✔ NPI 1942458153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in ID · 38486RP
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
3395 S FEDERAL WAY, Boise, ID 83705
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Other Names 1

Doing Business AsWalgreens #12123

Other Identifiers 3

Other1307936Ncpdp
Medicaid808214400ID
Medicaid808226100 DMEID

Accepted Insurance

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

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.

ZHEN RUAN
Pharmacist
3395 S FEDERAL WAY
BOISE, ID 83705
Ada County (208) 319-1043
RONALD MARK CURTIS RPH
Pharmacist
3395 S FEDERAL WAY
BOISE, ID 83705
Ada County (208) 319-1043
RUSSELL FOSS
Pharmacist
3395 S FEDERAL WAY
BOISE, ID 83705
Ada County (208) 319-1043
ROSE M OLSON RPH
Pharmacist
3395 S FEDERAL WAY
BOISE, ID 83705
Ada County (208) 319-1043

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 1942458153. It was assigned to this organization in the NPPES registry on August 29, 2008. The provider is doing business as Walgreens #12123.

Where is Walgreen Co located?

Walgreen Co is located at 3395 S Federal Way, Boise, ID 83705. The listed phone number is (208) 319-1043.

What is Walgreen Co's specialty?

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

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 March 29, 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.