WALGREENS #04438
NPI 1972518009
Pharmacy in Elk Grove Village, IL

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1972518009. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #04438.

Q: What is Walgreen Co's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on April 4, 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.

Active since July 29, 2006CLIA 14D2015163 · Waiver

930 ELK GROVE TOWN CTR, ELK GROVE VILLAGE, IL 60007(847) 439-4710(847) 640-1109 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2022, Jan 23, 2017, Nov 23, 2016 (3 updates tracked since 2016).

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About Walgreens #04438 NPPES

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

WALGREENS #04438 (NPI 1972518009) is a healthcare organization registered as a pharmacy in Elk Grove Village, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 21, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1972518009

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address930 ELK GROVE TOWN CTRElk Grove Village, IL 60007-3754

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(847) 439-4710

Fax(847) 640-1109

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira L TaylorManager · (217) 709-2351

Enumeration DateJuly 29, 2006

Last NPPES UpdateApril 4, 20223 updates tracked since enumeration

NPPES CertifiedApril 4, 2022

✔ NPI 1972518009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in IL · 54002916

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

930 ELK GROVE TOWN CTR, Elk Grove Village, IL 60007

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Other Names 1

Doing Business AsWalgreens #04438

Other Identifiers 4

Medicaid156808407AR

Other1402786Other Id Number-commercial Number

Medicaid362127039443IL

Medicaid1211575LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.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 14D2015163

Walgreens # 04438 · Elk Grove Village, IL

Active · expires Apr 21, 2027

CLIA Number14D2015163

Laboratory TypePharmacy

Certificate Effective DateApril 22, 2025

Certificate Expiration DateApril 21, 2027

Laboratory DirectorTrishna P. Patel

Laboratory Phone(847) 439-4710

Laboratory LocationWalgreens # 04438930 Elk Grove Town Ctr, Elk Grove Village, IL 60007

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #4438 carries, from the Medicare DMEPOS supplier directory.

Walgreens #4438

DMEPOS supplier · Elk Grove Village, ILOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #4438 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)20397077

Medicare Participant SinceMarch 1, 2022

Supplier Location930 Elk Grove Town CtrElk Grove Village, IL 60007

Phone(847) 439-4710

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 17

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

KHUSHBU PATEL NP-BC

Nurse Practitioner (Family)

930 ELK GROVE TOWN CTR
ELK GROVE VLG, IL 60007

Cook County (800) 323-8622

VAIDEHI V PATEL

Pharmacist