OrganizationActive
Walgreen Co
NPI 1093136459 · Pharmacy · Saint Louis, MO
Provider details
- NPI number
- 1093136459
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- Walgreen Co
- Organization subpart
- Yes
- Authorized official
- Kira Taylor, Manager(217) 709-2351
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7711 Carondelet Ave Ste 301
Saint Louis, MO 63105-3313
Phone: (314) 721-0003
Fax: (314) 721-0015
Street-level locationGet directions
Mailing address
1901 E Voorhees St
Danville, IL 61834-4509
Other names (DBA / former)
- Doing business as
- Walgreens #16017
- Doing business as
- Walgreens #16017
Registry dates
- Enumerated
- 2014-01-02
- Last updated
- 2022-05-04
- Certified
- 2022-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.