OrganizationActive
Walgreen Co.
NPI 1508504135 · Clinical Medical Laboratory · Jacksonville, IL
Walgreen Co. is a Clinical Medical Laboratory organization in Jacksonville, IL (NPI 1508504135).
Provider details
- NPI number
- 1508504135
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Walgreens Boots Alliance Inc
- Organization subpart
- Yes
- Authorized official
- Kira Taylor, Manager(217) 709-2351
Specialties & taxonomies
Laboratories
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1802 W Morton Ave
Jacksonville, IL 62650-2619
Phone: (217) 479-0693
Fax: (217) 479-0895
Street-level locationGet directions
Mailing address
1901 E Voorhees St # Ms 790
Danville, IL 61834-4509
Other names (DBA / former)
- Doing business as
- Walgreens #9176
Registry dates
- Enumerated
- 2022-05-24
- Last updated
- 2022-05-24
- Certified
- 2022-05-24
Frequently asked questions
- What is Walgreen Co.'s NPI number?
- Walgreen Co.'s National Provider Identifier (NPI) is 1508504135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walgreen Co.?
- Walgreen Co. is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Walgreen Co. located?
- Walgreen Co.'s practice location on file with NPPES is 1802 W Morton Ave, Jacksonville, IL 62650-2619.
- What is Walgreen Co.'s phone number?
- The practice phone number listed in the NPPES registry for Walgreen Co. is (217) 479-0693.
- Who is the authorized official for Walgreen Co.?
- The authorized official listed on Walgreen Co.'s NPPES record is Kira Taylor, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walgreen Co.'s NPI active?
- Yes — Walgreen Co.'s NPI (1508504135) is active in the NPPES registry as of the last update on 2022-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.