WALGREEN CO NPI 1366028995

NPI Information

  • NPI: 1366028995
  • Provider Name: WALGREEN CO
  • Classification: Pharmacy - 3336M0002X
  • Specialization: Mail Order Pharmacy
  • Entity Type: Organization
  • Doing Business As: WALGREENS #21373
  • CLIA Number: 45D2055858
  • Address: 4100 DALE EARNHARDT WAY STE 200
    NORTHLAKE, TX
    ZIP 76262
  • Phone: (817) 859-1400

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NPI Details

WALGREEN CO is a mail order pharmacy pharmacy in Northlake, TX. The provider is a pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. WALGREEN CO NPI is 1366028995. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #21373.

The provider's business location address is:

4100 DALE EARNHARDT WAY STE 200
NORTHLAKE, TX
ZIP 76262-389
Phone: (817) 859-1400

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 45D2055858 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2021 and was last updated on 10/5/2023.

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
2333600000XPharmacyNo
33336M0002XPharmacyMail Order PharmacyYes

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
15933684OTHERTEXASNCPDP

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: 3/30/2025

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