Walgreen Co.
NPI 1306923917ActiveOrganization· Pharmacy· Lake St Louis, MO
Pharmacy in Lake St Louis, Missouri, registered in NPPES in November 2006, part of Walgreens Boots Alliance Inc. The authorized official on file is Kira L. Taylor, Manager. Medicare paid $83,411 for services to 325 patients in 2024.
Overview
| NPI | 1306923917 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Boots Alliance Inc |
| NPI issued | Nov 1, 2006 |
| Last updated in NPPES | May 9, 2022 |
| Certified by provider | May 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 2006034602 | MO |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 325 |
|---|---|
| Services billed | 1,070 across 11 procedure codes |
| Paid by Medicare | $83,411 |