WALGREENS #04832
NPI 1972518116
Pharmacy in Fairview Heights, IL

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1972518116. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #04832.

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 20, 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, 2006

6505 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208(618) 394-8738 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2022, Mar 13, 2017, Feb 17, 2017 and 2 more (5 updates tracked since 2015).

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About Walgreens #04832 NPPES

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

WALGREENS #04832 (NPI 1972518116) is a healthcare organization registered as a pharmacy in Fairview Heights, Illinois and active in the NPI registry since July 2006. The organization lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1972518116

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address6505 N ILLINOIS STFairview Heights, IL 62208-2001

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

Phone(618) 394-8738

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira L TaylorManager · (217) 709-2351

Enumeration DateJuly 29, 2006

Last NPPES UpdateApril 20, 20225 updates tracked since enumeration

NPPES CertifiedApril 20, 2022

✔ NPI 1972518116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in IL · 54010013

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

6505 N ILLINOIS ST, Fairview Heights, IL 62208

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Other Names 1

Doing Business AsWalgreens #04832

Other Identifiers 2

Medicaid362127039344IL

Other1459812Other Id Number-commercial Number

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 ›

Other Providers at the Same Location NPPES 14

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

EMILY LAUREN MAPES

Pharmacist