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	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy	2009000489	MO
3	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2638192	OTHER	MO	NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164670055
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	:	358 E US HIGHWAY 69
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64119-3117
Country	:	US
Telephone Number	:	816-413-0079
Fax Number	:	816-413-0687

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

Provider Enumeration Date	:	09/04/2008
Last Update Date	:	03/29/2022

Similar Medicare Providers

1497032676 — MR. EDWARD LEWIS BOLES JR. RPH
Practice Location Address:

358 E HIGHWAY 69
KANSAS CITY, MO
64119-3117

Practice Phone: 816-413-0079
Practice Fax: 816-413-0687

1275801060 — MS. JANET KAY COCHRAN RPH
Practice Location Address:

358 E HIGHWAY 69
KANSAS CITY, MO
64119-3117

Practice Phone: 816-413-0079
Practice Fax: 816-413-0687

1225641970 — DR. AUSTIN JOSEPH BIELBY PHARM D.
Practice Location Address:

358 E US HIGHWAY 69
KANSAS CITY, MO
64119-3117

Practice Phone: 816-413-0079
Practice Fax: 816-413-0687

1063170561 — DR. SARAH ELIZABETH NOBLE PHARMD
Practice Location Address:

358 E US HIGHWAY 69
CLAYCOMO, MO
64119-3117

Practice Phone: 816-413-0079
Practice Fax:

1184781833 — NEVADA COUNTY OFFICE OF EDUCATION
Practice Location Address:

112 NEVADA CITY HWY
NEVADA CITY, CA
95959-3117

Practice Phone: 530-478-6400
Practice Fax:

1013067727 — GORSUCH FAMILY CHIROPRACTIC
Practice Location Address:

3117 W RAPID ST , SUITE 5
RAPID CITY, SD
57702-2340

Practice Phone: 605-341-9100
Practice Fax: 605-341-9200

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.