P Praxis·MD
● Active Type 2 · Organization Subpart

Walgreen Co

Pharmacy·Ammon, ID· NPI 1811030950 · Enumerated 2007 · 19 years on NPI
Walgreen Co is 1 of 117 pharmacy organizations in Idaho.
NPI age
19 years
Enumerated 2007-02-15
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
2023-11-01
Source: monthly bulk 2026-05

How this organization compares

Across 117 active pharmacy providers in Idaho.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 55% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
3475 E 17th St
Ammon, ID 834066781
📞 2082275083fax 2082275087
Mailing address
1901 E Voorhees St, MS 790
Danville, IL 618344509
📞 2177092351fax 2177092344

Authorized official

Kira L Taylor
Manager
📞 2177092351

Individual providers at this organization

10 individual providers on file at this primary practice address.

Specialties

  • Pharmacy Primary
    A 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...
    ID license #38586RP taxonomy 333600000X
  • Durable Medical Equipment & Medical Supplies
    A 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.
    taxonomy 332B00000X
  • Pharmacy
    A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
    taxonomy 3336C0003X

Identifiers

TypeValueNotes
01 1307722 NCPDP
05 (ID) 807666700

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • WALGREENS #10603
    Type code 3 recorded 2019-03-28
  • WALGREENS #10603
    Type code 3 recorded 2008-05-14

Practice context

Multi-provider organization. 10 individual providers on file at this primary address.

Subpart of Walgreens Boots Alliance Inc.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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