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WALGREEN CO NPI 1205104973


NPI Information

NPI: 1205104973
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #13950

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 17D2043650

Address:
4701 TOWN CENTER DR
LEAWOOD, KS
ZIP 66211
Phone: (913) 469-4014
Get Directions

WALGREEN CO is a pharmacy in Leawood, KS. The provider is 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. WALGREEN CO NPI is 1205104973. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #13950.

The provider's business location address is:

4701 TOWN CENTER DR
LEAWOOD, KS
ZIP 66211-037
Phone: (913) 469-4014
Fax: (913) 469-0890

The provider's authorized official is Kira Taylor .
The authorized official title is Manager and has the following contact phone number (217) 709-2351.

The CLIA number assigned to this NPI record is 17D2043650 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2011 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy2-13146KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11720401OTHERNCPDP
2200867930AMEDICAIDKANSAS
32-10391OTHERKANSASBOP LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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