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Active NPI 1164663787 Organization (Entity Type 2) Subpart Facility

Walgreen Co

Pharmacy • Georgetown, TX

Parent Organization: Walgreens Boots Alliance Inc

About Walgreen Co NPI 1164663787 Summary

Walgreen Co is a verified healthcare organization specializing in Pharmacy operating in Georgetown, TX. Located at 1220 W UNIVERSITY AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1164663787.

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 8 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1220 W University Ave

Georgetown, TX 786285333

Telephone 5128634671
Fax 5128634894

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.

Clinical Medical Laboratory

NUCC Taxonomy Code: 291U00000X

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

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

8 Linked
Jacqueline Lee NPI 1295346385

Pharmacist

Georgetown, TX

View Practitioner Profile →
Victoria Gorena NPI 1356138465

Pharmacist

Georgetown, TX

View Practitioner Profile →

Pharmacist

Georgetown, TX

View Practitioner Profile →
Mark Chandler , RPH NPI 1639407406

Pharmacist

Georgetown, TX

View Practitioner Profile →
Zia Mohammad , RPH NPI 1649962630

Pharmacist

Georgetown, TX

View Practitioner Profile →

Facility & Registry History Timeline

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

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2023

Clinical Medical Laboratory

📍
Updated Business Mailing Address April 04, 2022

Registered at 1901 E VOORHEES ST, MS #790, DANVILLE, IL 618344509 (Tel: 2177092351)

NPI Profile Active September 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2017

Registered at 1220 W UNIVERSITY AVE, GEORGETOWN, TX 786285333 (Tel: 5128634671)

📍
Updated Business Mailing Address September 15, 2017

Registered at 1901 E VOORHEES ST, M/S 790, DANVILLE, IL 618344509 (Tel: (217) 709-2386)

🏛️
Organization / Clinic Name Updated September 15, 2017

Operating as WALGREEN CO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2017

Durable Medical Equipment & Medical Supplies

NPI Profile Active January 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2016

Registered at 1220 W UNIVERSITY AVE, GEORGETOWN, TX 78628 (Tel: 5128634671)

📍
Updated Business Mailing Address January 13, 2016

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

🏛️
Organization / Clinic Name Updated January 13, 2016

Operating as WALGREEN CO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2016

Durable Medical Equipment & Medical Supplies

🟢
Initial NPI Registration & Enumeration March 11, 2009

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1164663787
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 11, 2009
Last Update: February 28, 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.