Walgreen Co
Pharmacy in Tulsa, OK. Organization (NPI-2).
NPI number1457435596
StatusActive
Last updated in NPPESMay 3, 2022
Details
- NPI
- 1457435596
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Oct 25, 2006
- Certification date
- May 3, 2022
- Last updated
- May 3, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 23312 | OK | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 23312 | OK | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #15812 (Doing Business As)
Practice location
6505 E 71st StTulsa, OK 74133-2755
Phone 918-492-3650 · Fax 918-495-2922
Mailing address
1901 E Voorhees StMs 790
Danville, IL 61834-4509
Phone 217-709-2351 · Fax 217-709-2344
Authorized official
Kira Taylor
Manager
2177092351
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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