MEDICARE: WALGREEN CO.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	3336C0003X	Community/Retail Pharmacy
4	333600000X	Pharmacy	25744	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4546214	OTHER	NCPDP

General Provider Information

NPI Number	:	1063609568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALGREEN CO.

Provider Business Mailing Address
First Line	:	1901 E VOORHEES ST
Second Line	:	MS 790
City	:	DANVILLE
State	:	IL
Zip	:	61834-4509
Country	:	US
Telephone Number	:	217-709-2351
Fax Number	:	217-709-2344

Provider Business Practice Location Address
First Line	:	7929 KIRBY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1701
Country	:	US
Telephone Number	:	713-383-0292
Fax Number	:	713-790-1264

Authorized Official
Title or Position	:	MANAGER
Name	:	KIRA L TAYLOR
Credential	:
Telephone Number	:	217-709-2351

Provider Enumeration Date	:	09/28/2007
Last Update Date	:	02/22/2023

Similar Medicare Providers

1780395012 — CURATIVE DIGESTIVE DISEASE CENTER
Practice Location Address:

7919 KIRBY DR
HOUSTON, TX
77054-1701

Practice Phone: 713-393-7744
Practice Fax:

1801203633 — ANAUM MAQSOOD M.D.
Practice Location Address:

7919 KIRBY DR
HOUSTON, TX
77054-1701

Practice Phone: 713-393-7744
Practice Fax:

1952378317 — MARC F CATALANO MD
Practice Location Address:

7919 KIRBY DR
HOUSTON, TX
77054-1701

Practice Phone: 713-393-7744
Practice Fax: 713-486-6324

1730186669 — DR. OLENDRUFF LEREY JOHNSON M.D.
Practice Location Address:

7929 KIRBY DR STE A
HOUSTON, TX
77054-1701

Practice Phone: 713-461-2915
Practice Fax: 713-474-8131

1962730911 — DR. REGINA ORTIZ SIMIEN PHARMD
Practice Location Address:

7929 KIRBY DR.
HOUSTON, TX
77054-1701

Practice Phone: 713-383-0292
Practice Fax: 713-790-1264

1619258290 — SAJU T MATHEW RPH
Practice Location Address:

7929 KIRBY DR
HOUSTON, TX
77054-1701

Practice Phone: 713-383-0292
Practice Fax:

Directions to “WALGREEN CO. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.