Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Shirley, NY, holding Type 2 (organization) NPI 1063719805 since 2011. The authorized official on file is Kira Taylor, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1063719805 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 863 MONTAUK HWY, Shirley, NY, 11967 |
| Phone | 6313991352 |
| Fax | 6313991478 |
| Enumeration date | 2011-02-14 |
| Last updated in NPPES | 2023-11-07 |
Authorized official
| Name | Kira Taylor |
|---|---|
| Title | Manager |
| Phone | 2177092351 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 030679 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03391673 | Medicaid | NY | — |
| 5801964 | Other | — | NCPDP |
Copy-ready billing details
Provider: Walgreen Co NPI: 1063719805 Taxonomy: 333600000X (Pharmacy) Address: 863 MONTAUK HWY, Shirley, NY, 11967
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1144499211 | Elyhia Perez-Cruz | Individual | Pharmacist | Shirley, NY |
| 1316227648 | Angela Mwaura | Individual | Pharmacist | Shirley, NY |
| 1184141582 | Adam Sakiel | Individual | Pharmacist | Shirley, NY |
| 1598414922 | Theodore Heinz | Individual | Pharmacist | Shirley, NY |
Verify this record
Cross-check NPI 1063719805 against the authoritative CMS record: view Walgreen Co on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Walgreen Co?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-11-07.