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	291U00000X	Clinical Medical Laboratory
3	3336C0003X	Community/Retail Pharmacy
4	333600000X	Pharmacy	P07709	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1834969	OTHER	KY	NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528443157
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	:	501 CAPERTON DR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475
Country	:	US
Telephone Number	:	859-353-3309
Fax Number	:	859-353-3310

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

Provider Enumeration Date	:	07/24/2015
Last Update Date	:	06/12/2026

Similar Medicare Providers

1083470223 — UNIVERSITY OF KENTUCKY
Practice Location Address:

2091 LANTERN RIDGE DR
RICHMOND, KY
40475-6037

Practice Phone: 859-323-8100
Practice Fax: 859-257-3828

1144079625 — ALINA PAGE THOMPSON APRN
Practice Location Address:

103 ALYCIA DR STE 10
RICHMOND, KY
40475-2368

Practice Phone: 859-624-6515
Practice Fax: 859-624-6514

1699609362 — H20 SUPPLIESLLC
Practice Location Address:

212 N 2ND ST # 100
RICHMOND, KY
40475-1408

Practice Phone: 910-227-4916
Practice Fax: 346-771-1189

1578458410 — CHLOE SPARKMAN
Practice Location Address:

1013 CENTER DR
RICHMOND, KY
40475-3841

Practice Phone: 859-224-2273
Practice Fax: 859-224-4675

1013803626 — CHRISTA ANN CARLIN APRN
Practice Location Address:

1024 IVAL JAMES BLVD
RICHMOND, KY
40475-7622

Practice Phone: 859-353-8041
Practice Fax:

1497345235 — ADVANCED PRIMARY & BEHAVIORAL HEALTH LLC
Practice Location Address:

2013 MERCHANT DR STE 3
RICHMOND, KY
40475-6856

Practice Phone: 859-624-2290
Practice Fax: 859-624-5455

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.