Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Fulton, MO, holding Type 2 (organization) NPI 1417131160 since 2007. The authorized official on file is Kira Taylor, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1417131160 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 1410 N BLUFF ST, Fulton, MO, 65251 |
| Phone | 5735927030 |
| Fax | 5735927399 |
| Enumeration date | 2007-12-18 |
| Last updated in NPPES | 2023-11-09 |
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 | 208019420 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2637758 | Other | MO | NCPDP |
| 606381408 | Medicaid | MO | — |
Copy-ready billing details
Provider: Walgreen Co NPI: 1417131160 Taxonomy: 333600000X (Pharmacy) Address: 1410 N BLUFF ST, Fulton, MO, 65251
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1043595622 | Cheryl Jackson | Individual | Pharmacist | Fulton, MO |
| 1689951048 | Barbara Hauck | Individual | Pharmacist | Fulton, MO |
| 1821375205 | Luanne Mcclure | Individual | Pharmacist | Fulton, MO |
| 1629468756 | Ashley Miller | Individual | Pharmacist | Fulton, MO |
Verify this record
Cross-check NPI 1417131160 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 a Type 2 NPI?
What type of organization is Walgreen Co?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-11-09.