Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Pasadena, MD, holding Type 2 (organization) NPI 1063936938 since 2017. The authorized official on file is Kira Taylor, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1063936938 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 3400 MOUNTAIN RD, Pasadena, MD, 21122 |
| Phone | 4103601509 |
| Fax | 4103604209 |
| Enumeration date | 2017-08-01 |
| Last updated in NPPES | 2022-06-02 |
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 | P07819 | MD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2141997 | Other | MD | NCPDP |
| 555120000 | Medicaid | MD | — |
Copy-ready billing details
Provider: Walgreen Co NPI: 1063936938 Taxonomy: 333600000X (Pharmacy) Address: 3400 MOUNTAIN RD, Pasadena, MD, 21122
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1982877031 | Sathish Arcot Jaishankervel | Individual | Pharmacist | Pasadena, MD |
| 1932414885 | Kun Lok | Individual | Pharmacist | Pasadena, MD |
| 1548673593 | Heather Mialki | Individual | Pharmacist | Pasadena, MD |
| 1194138768 | Nephthalee Edmond | Individual | Pharmacist | Pasadena, MD |
| 1972021764 | Emmanuel Ofili | Individual | Pharmacist | Pasadena, MD |
| 1538830427 | Madison Walbom | Individual | Pharmacist | Pasadena, MD |
| 1851045975 | Omolola Pefok | Individual | Pharmacist | Pasadena, MD |
| 1528814282 | Walgreen Co. | Organization | Pharmacy | Pasadena, MD |
Verify this record
Cross-check NPI 1063936938 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
Where is Walgreen Co located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-06-02.