Organization · Type 2 NPI

Walgreen Co.

Pharmacy · Shepherdsville, KY

NPI number 1619922978 Active

Practice location

152 N Buckman St
Shepherdsville, KY 40165-5900

Call (502) 543-2202 Map

Fax (502) 542-1040

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory	291U00000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	P07119 (KY)
Clinic Pharmacy	3336C0002X	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…

13 other providers at this address

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NPI record

NPI: 1619922978
Entity type: Organization (Type 2)
Issued: May 24, 2006
Last updated: Jun 12, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #10207 · doing business as
Walgreens #10207 · doing business as

Authorized official

Kira L Taylor
Manager
(217) 709-2351

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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.

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About NPI 1619922978

Walgreen Co.'s National Provider Identifier is 1619922978, issued on May 24, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Shepherdsville, KY. The record was last updated on Jun 12, 2026.