WALGREENS #15036
NPI 1952318966
Pharmacy in El Paso, TX

Active since August 02, 2006CLIA 45D2226177 · Waiver
5401 MONTANA AVE, EL PASO, TX 79903(915) 779-8825(915) 779-5267 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 23, 2023, Apr 25, 2022, Jun 12, 2019 and 2 more (5 updates tracked since 2016).

About Walgreens #15036 NPPES

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

WALGREENS #15036 (NPI 1952318966) is a healthcare organization registered as a pharmacy in El Paso, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 25, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1952318966
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address5401 MONTANA AVEEl Paso, TX 79903-4909
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(915) 779-5267
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 2, 2006
Last NPPES UpdateFebruary 23, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
NPI 1952318966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in TX · 15510
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 ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
5401 MONTANA AVE, El Paso, TX 79903

Other Names 1

Doing Business AsWalgreens #15036

Other Identifiers 4

Other4589288Other Id Number-commercial Number
Medicaid468883TX
Medicaid463524TX
Medicaid00059975NM

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 45D2226177

Walgreens #15036 · El Paso, TX
Active · expires May 25, 2027
CLIA Number45D2226177
Laboratory TypePharmacy
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorSenon Ojeda
Laboratory Phone(915) 779-8825
Laboratory LocationWalgreens #150365401 Montana Ave, El Paso, TX 79903
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
68 services66 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.
43 services43 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
25 services25 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20360693
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Other Providers at the Same Location NPPES 5

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

Pharmacist
5401 MONTANA AVE
EL PASO, TX 79903
Pharmacist
5401 MONTANA AVE
EL PASO, TX 79903
Pharmacist
5401 MONTANA AVE
EL PASO, TX 79903
Pharmacist
5401 MONTANA AVE
EL PASO, TX 79903
Pharmacist
5401 MONTANA AVE
EL PASO, TX 79903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952318966, enumerated as an "organization" on August 02, 2006.

The provider is located at 5401 MONTANA AVE EL PASO, TX 79903 and the phone number is (915) 779-8825.

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.