Walgreen Co
NPI 1639692999ActiveOrganization· Pharmacy· Fultondale, AL
Pharmacy in Fultondale, Alabama, registered in NPPES in July 2017, part of Walgreens Holding Company. The authorized official on file is Kira Taylor, Manager. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1639692999 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Jul 19, 2017 |
| Last updated in NPPES | Jun 3, 2026 |
| Certified by provider | Jun 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 111333 | AL |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (AL) |
|---|
Other Pharmacy providers in Fultondale
- 1245424324
- 1588767214