Walgreen Co.
Walgreen Co. is a healthcare organization registered as Clinical Medical Laboratory in Champaign, IL, holding Type 2 (organization) NPI 1588302004 since 2022. The authorized official on file is Kira Taylor, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1588302004 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co. |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 1509 S NEIL ST, Champaign, IL, 61820 |
| Phone | 2173511516 |
| Fax | 2173511951 |
| Enumeration date | 2022-05-24 |
| Last updated in NPPES | 2022-05-24 |
Authorized official
| Name | Kira Taylor |
|---|---|
| Title | Manager |
| Phone | 2177092351 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | — | — |
Copy-ready billing details
Provider: Walgreen Co. NPI: 1588302004 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 1509 S NEIL ST, Champaign, IL, 61820
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134139090 | Walgreen Co | Organization | Pharmacy | Champaign, IL |
| 1366726200 | Bradley Seiler | Individual | Pharmacist | Champaign, IL |
| 1609145861 | Mahitha Vasireddy | Individual | Pharmacist | Champaign, IL |
| 1104264852 | Kevin Tonn | Individual | Pharmacist | Champaign, IL |
| 1013679943 | Tramy Vo | Individual | Pharmacist | Champaign, IL |
| 1336846351 | Lacey Buckhannon | Individual | Pharmacy Technician | Champaign, IL |
| 1356028872 | Lawrence Koduah | Individual | Pharmacist | Champaign, IL |
Verify this record
Cross-check NPI 1588302004 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 2022-05-24.