Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Melbourne, FL, holding Type 2 (organization) NPI 1093722084 since 2006. The authorized official on file is Kira Taylor, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1093722084 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 4020 N WICKHAM RD, Melbourne, FL, 32935 |
| Phone | 3212547803 |
| Enumeration date | 2006-08-02 |
| Last updated in NPPES | 2022-04-01 |
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 | 9840 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109686902 DME | Medicaid | FL | — |
| 109686900 | Medicaid | FL | — |
| 1057113 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Walgreen Co NPI: 1093722084 Taxonomy: 333600000X (Pharmacy) Address: 4020 N WICKHAM RD, Melbourne, FL, 32935
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1649372186 | Gregory Spake | Individual | Pharmacist | Melbourne, FL |
| 1548541261 | David Gaule | Individual | Pharmacist | Melbourne, FL |
| 1598048928 | Joseph Youssef | Individual | Pharmacist | Melbourne, FL |
| 1588062426 | Shelby Dakus | Individual | Pharmacist | Melbourne, FL |
| 1487043477 | Safiullah Baburi | Individual | Pharmacist | Melbourne, FL |
| 1083436562 | Rajmohan Bridgelal | Individual | Pharmacist | Melbourne, FL |
Verify this record
Cross-check NPI 1093722084 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 is the NPI number for Walgreen Co?
Who is the authorized official for Walgreen Co?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2022-04-01.