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Active NPI 1407039159 Organization (Entity Type 2) Subpart Facility

Walgreen Co

Pharmacy • Springfield, IL

Parent Organization: Walgreens Boots Alliance Inc

About Walgreen Co NPI 1407039159 Summary

Walgreen Co is a verified healthcare organization specializing in Pharmacy operating in Springfield, IL. Located at 2500 S KOKE MILL RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1407039159.

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 9 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

2500 S Koke Mill Rd

Springfield, IL 627119617

Telephone 2177260979
Fax 2177266114

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

9 Linked
Andrea Wilcoxen NPI 1013285303

Pharmacist

Springfield, IL

View Practitioner Profile →
Brandon Darnell NPI 1134951387

Pharmacist

Springfield, IL

View Practitioner Profile →

Pharmacist

Springfield, IL

View Practitioner Profile →

Pharmacist

Springfield, IL

View Practitioner Profile →
Mercy Itopa NPI 1598600017

Pharmacist

Springfield, IL

View Practitioner Profile →

Pharmacist

Springfield, IL

View Practitioner Profile →

Facility & Registry History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2023

Pharmacy

NPI Profile Active January 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2016

Registered at 2500 S KOKE MILL RD, SPRINGFIELD, IL 627119617 (Tel: 2175299375)

📍
Updated Business Mailing Address January 12, 2016

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

🏛️
Organization / Clinic Name Updated January 12, 2016

Operating as WALGREEN CO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2016

Durable Medical Equipment & Medical Supplies

🟢
Initial NPI Registration & Enumeration December 17, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1407039159
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: December 17, 2007
Last Update: November 02, 2023

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.