NPI age
5 years
Enumerated 2021-03-23
● Active Type 2 · Organization
Subpart
Walgreen Co
Walgreen Co is 1 of 48 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
Manager
Last NPPES update
2023-10-05
Source: monthly bulk 2026-05
How this organization compares
Across 48 active pharmacy providers in Texas.
NPI age
5 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 29% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-03Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
4100 Dale Earnhardt Way Ste 200
Northlake, TX 762622389
Mailing address
1901 E Voorhees St, MS 790
Danville, IL 618344509
Authorized official
Kira Taylor
Manager
📞 2177092351
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Staycey Chandy Pharmacist NPI 1457136699
- Thomas Dinh Pharmacist NPI 1518622281
- Marshall Koen, RPH Pharmacist NPI 1346905692
- Christine Martin Pharmacist NPI 1548925290
- Harriette Sama Pharmacist NPI 1700664125
- Tarenaya Smith, PHARMD Pharmacist NPI 1669250130
- Jacey Vu Pharmacist NPI 1366225518
Specialties
-
Pharmacy PrimaryA pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 5933684 | NCPDP |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Walgreens #21373
-
Walgreens #21373
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
Subpart of Walgreens Boots Alliance Inc.
Provyx · Custom healthcare lists
Need all 48 Pharmacy providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.