1. Home
  2. Directory
  3. Missouri
  4. Malden
  5. Pharmacy
  6. NPI Profile

WALGREENS #15801
NPI 1962529685
Pharmacy in Malden, MO

Active since March 26, 2007
310 W MAIN ST, MALDEN, MO 63863(573) 276-2218(573) 276-4785 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2022, Apr 8, 2019, Jun 15, 2018 and 2 more (5 updates tracked since 2016).

About Walgreens #15801 NPPES

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

WALGREENS #15801 (NPI 1962529685) is a healthcare organization registered as a pharmacy in Malden, Missouri and active in the NPI registry since March 2007. The organization lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1962529685
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address310 W MAIN STMalden, MO 63863-2116
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(573) 276-2218
Fax(573) 276-4785
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateMarch 26, 2007
Last NPPES UpdateMay 3, 20225 updates tracked since enumeration
NPPES CertifiedMay 3, 2022
✔ NPI 1962529685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MO · 2017006064
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
310 W MAIN ST, Malden, MO 63863
Open in Google Maps ↗

Other Names 1

Doing Business AsWalgreens #15801

Other Identifiers 2

Other2608593Ncpdp Provider Identification Number
Medicaid600202402MO

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

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

BRYAN DAVID HARRIS
Pharmacist
310 W MAIN ST
MALDEN, MO 63863
Dunklin County (573) 281-6964

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 1962529685. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider is doing business as Walgreens #15801.

Where is Walgreen Co located?

Walgreen Co is located at 310 W Main St, Malden, MO 63863. The listed phone number is (573) 276-2218.

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 May 3, 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.