Organization · Type 2 NPI

Walgreen Co

Pharmacy · Elkhart, IN

NPI number 1043485568 Active

Practice location

3551 Cassopolis St
Elkhart, IN 46514-6743

Call (574) 206-0285 Map

Fax (574) 266-5819

Mailing address

1901 E Voorhees St, Ms #790
Danville, IL 61834-4509

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	60006128A (IN)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: 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 dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

4 other providers at this address

Other pharmacy providers in Elkhart

See all in Elkhart →

NPI record

NPI: 1043485568
Entity type: Organization (Type 2)
Issued: Apr 25, 2008
Last updated: Oct 26, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #11795 · other name
Walgreens #11795 · other name

Authorized official

Kira L Taylor
Manager
(217) 709-2351

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1043485568

Walgreen Co's National Provider Identifier is 1043485568, issued on Apr 25, 2008. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Elkhart, IN. The record was last updated on Oct 26, 2026.