Walgreen Co
NPI 1972518116ActiveOrganization· Pharmacy· Fairview Heights, IL
Pharmacy in Fairview Heights, Illinois, registered in NPPES in July 2006, part of Walgreens Boots Alliance Inc. The authorized official on file is Kira L. Taylor, Manager. Medicare paid $4,205 for services to 18 patients in 2024.
Overview
| NPI | 1972518116 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Boots Alliance Inc |
| NPI issued | Jul 29, 2006 |
| Last updated in NPPES | Apr 20, 2022 |
| Certified by provider | Apr 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 54010013 | IL |
| 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 29 across 10 procedure codes |
| Paid by Medicare | $4,205 |
Other Pharmacy providers in Fairview Heights
- 1558206508
- 1891956983