WALGREENS #21559
NPI 1962181552
Pharmacy in Tyler, TX

Active since July 12, 2023
172 CENTENNIAL PKWY, TYLER, TX 75703(903) 525-6923 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 8, 2023, Jul 17, 2023, Jul 12, 2023 (3 updates tracked since 2023).

About Walgreens #21559 NPPES

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

WALGREENS #21559 (NPI 1962181552) is a healthcare organization registered as a pharmacy in Tyler, Texas and active in the NPI registry since July 2023. The organization lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1962181552
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address172 CENTENNIAL PKWYTyler, TX 75703-7018
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2351
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 12, 2023
Last NPPES UpdateJanuary 31, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2024
NPI 1962181552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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
172 CENTENNIAL PKWY, Tyler, TX 75703

Other Names 1

Doing Business AsWalgreens #21559

Other Identifiers 1

Medicaid471441TX

Accepted Insurance

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20382023
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


The following 1 provider is registered at the same or a nearby location.

Pharmacy
172 CENTENNIAL PKWY
TYLER, TX 75703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962181552, enumerated as an "organization" on July 12, 2023.

The provider is located at 172 CENTENNIAL PKWY TYLER, TX 75703 and the phone number is (903) 525-6923.

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.