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
3	333600000X	Pharmacy	PHY44995	CA

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	0556817	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1831104116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALGREEN CO

Provider Business Mailing Address
First Line	:	1901 E VOORHEES ST
Second Line	:	MAILSTOP #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	:	17010 CHATSWORTH ST
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-5844
Country	:	US
Telephone Number	:	818-360-0871
Fax Number	:	818-360-1106

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

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	06/08/2026

Similar Medicare Providers

1275817637 — JOON WOO KIM PHARMACIST
Practice Location Address:

17010 CHATSWORTH ST
GRANADA HILLS, CA
91344-5844

Practice Phone: 818-360-0871
Practice Fax: 818-360-1106

1972972396 — MRS. BINCY ROSE THANNICKAL RPH
Practice Location Address:

17010 CHATSWORTH ST
GRANADA HILLS, CA
91344-5844

Practice Phone: 818-360-0871
Practice Fax:

1275995607 — CRYSTAL RENEE GILLESPIE PA-C
Practice Location Address:

17010 CHATSWORTH ST
GRANADA HILLS, CA
91344-5844

Practice Phone: 888-227-3312
Practice Fax:

1497311070 — MINH-AN DINH CAO
Practice Location Address:

17010 CHATSWORTH ST
GRANADA HILLS, CA
91344-5844

Practice Phone: 818-360-0871
Practice Fax:

1578263653 — EMILY DILLON, LICENSED CLINICAL SOCIAL WORKER, WILDFLOWER MENTAL HEALT
Practice Location Address:

17020 CHATSWORTH ST # 1059
GRANADA HILLS, CA
91344-5844

Practice Phone: 818-213-1212
Practice Fax:

1053244533 — HANNAH MOGUL
Practice Location Address:

5844 LARBOARD LN
AGOURA HILLS, CA
91301-1423

Practice Phone: 818-889-2134
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.