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Export Provider Record NPI 1417962697
Walgreen Co
Organization Subpart: YES
Active
NPI Number1417962697
NPI TypeNPI-2 Organization
SpecialtyPharmacy
Provider Details
NPI1417962697
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-07-29
Last Updated2022-05-10
Authorized OfficialKira Taylor
Manager
Phone: 2177092351
Mailing Address1901 E Voorhees St, M/s #790
Danville, IL 61834-4509
United States
Phone: (217) 709-2351 | Fax: (217) 709-2344
๐Ÿ“ View Map
Primary Practice Address909 David Dr
Metairie, LA 70003-5134
United States
Phone: (504) 818-1170
๐Ÿ“ View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDLA1272035-
Other (non-Medicare)-1931953Other ID Number-Commercial Number
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X โ€“ Durable Medical Equipment & Medical Supplies--
No3336C0003X โ€“ Pharmacy, Community/Retail Pharmacy--
Yes333600000X โ€“ PharmacyLA5441RC
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About NPI 1417962697

Walgreen Co is an organization registered in the CMS NPPES NPI Registry with NPI number 1417962697. The primary specialty listed is Pharmacy. The organization is located in Metairie, LA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1417962697?

NPI 1417962697 belongs to Walgreen Co, a Pharmacy in Metairie, LA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1417962697 active?

The current status of NPI 1417962697 in the NPPES registry is Active. The record was last updated on 2022-05-10.

What specialty is NPI 1417962697?

NPI 1417962697 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1417962697?

You can verify NPI 1417962697 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1417962697?

The primary practice address on file for NPI 1417962697 is 909 David Dr, Metairie, LA 70003-5134. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1417962697 issued?

NPI 1417962697 was first issued (enumerated) on 2006-07-29. The NPPES record was last updated on 2022-05-10.

Practice Location Map

Walgreen Co is located at 909 David Dr, Metairie, LA. Use the map below to find directions or verify the practice location.

๐Ÿ“ 909 David Dr, Metairie, LA 70003-5134  ยท  Open in Google Maps โ†—

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Walgreen Co. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1417962697. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy5441RCLA
Data Verified from CMS NPPES Last synced: 2026-08-29 ยท Source: npiregistry.cms.hhs.gov ยท 45 CFR Part 162