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Walgreen Co

Pharmacy in North Providence, RI. Organization (NPI-2).

NPI number1669995502
StatusActive
Last updated in NPPESAug 28, 2026

Details

NPI
1669995502
Entity type
Organization (NPI-2)
Legal business name
Walgreen Co
Organization subpart
Yes
Enumeration date
Jul 24, 2017
Certification date
Aug 28, 2026
Last updated
Aug 28, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · DME SUPPLIER - PHARMACY
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 codeDescriptionLicenseStatePrimary
333600000X PharmacyPHA00655RIYes
332B00000X Durable Medical Equipment & Medical Supplies––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Walgreens #19761 (Doing Business As)

Practice location

1510 Smith St
North Providence, RI 02911-2918

Phone 401-353-3500 · Fax 401-353-6650

Mailing address

1901 E Voorhees St
Ms 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.

Other Pharmacy providers in North Providence, RI

All 5 Pharmacy providers in North Providence · All 572 providers in North Providence

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