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Active NPI 1386820074 Organization (Entity Type 2) Subpart Facility

Walgreen Co.

Pharmacy • St Augustine, FL

Parent Organization: Walgreens Boots Alliance Inc

About Walgreen Co. NPI 1386820074 Summary

Walgreen Co. is a verified healthcare organization specializing in Pharmacy operating in St Augustine, FL. Located at 3975 A1A S, this facility provides patient care and medical services under National Provider Identifier (NPI) 1386820074.

Walgreen Co. operates as a subpart facility of Walgreens Boots Alliance Inc. Administrative operations and authorized compliance are overseen by Kira Taylor (Manager).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

3975 A1a S

St Augustine, FL 320806933

Telephone 9044719026

Authorized Official Information

Authorized Contact Name

Kira Taylor

Title / Role

Manager

Official Telephone

2177092351

Facility Classifications & Specialties

Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 333600000X

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.

Durable Medical Equipment & Medical Supplies

NUCC Taxonomy Code: 332B00000X

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Pharmacy - Community/Retail Pharmacy

NUCC Taxonomy Code: 3336C0003X

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked

Pharmacist

St Augustine, FL

View Practitioner Profile →

Pharmacist

St Augustine, FL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2022

Pharmacy

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Updated Practice Location May 08, 2018

Registered at 3975 A1A S, ST AUGUSTINE, FL 320806933 (Tel: 9044719026)

NPI Profile Active November 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2016

Registered at 3975 A1A S, SAINT AUGUSTINE, FL 320806933 (Tel: 9044719026)

📍
Updated Business Mailing Address November 10, 2016

Registered at 1901 E VOORHEES ST, MS 790, DANVILLE, IL 618344509 (Tel: 2177092386)

🏛️
Organization / Clinic Name Updated November 10, 2016

Operating as WALGREEN CO.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2016

Durable Medical Equipment & Medical Supplies

🟢
Initial NPI Registration & Enumeration January 14, 2008

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1386820074
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: January 14, 2008
Last Update: June 08, 2022

Mailing Address

1901 E Voorhees St, Ms 790

Danville, IL 618344509

Phone: 2177092351

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.