WALGREENS #19653 – NPI #1649796061
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

WALGREENS #19653 is a pharmacy located in CHARLESTON, WV. NPPES has assigned the NPI number 1649796061 to WALGREENS #19653 on August 17, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WALGREENS #19653” is a dba name, the actual legal business name for this organization is WALGREEN CO. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 4 years ago on Jun 09, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WALGREENS #19653 below.

NPI Profile for
WALGREEN CO

NPI Number
1649796061
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WALGREEN CO
Doing Business As (dba): WALGREENS #19653
Primary location
3801 MACCORKLE AVE SE
CHARLESTON, WV 25304-1527
Phone: (304) 925-2168 Fax: (304) 925-8123
Mailing address
1901 E VOORHEES ST
MS 790
DANVILLE, IL 61834-4509
Phone: (217) 709-2351 Fax: (217) 709-2344
Organization Subpart
Yes - WALGREENS #19653 is subpart of another organization.
Authorized Official
KIRA TAYLOR
MANAGER
Phone: (217) 709-2351
Updated
Certification Date
Jun 09, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.