Organization · Type 2 NPI

Walgreen Co

Pharmacy · Camillus, NY

NPI number 1831124841 Active

Practice location

5206 W Genesee St
Camillus, NY 13031-2202

Call (315) 468-1701 Map

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	027936 (NY)
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…

9 other providers at this address

Other pharmacy providers in Camillus

Walgreen CoPharmacy Camillus, NY NPI 1912422676

See all in Camillus →

NPI record

NPI: 1831124841
Entity type: Organization (Type 2)
Issued: Jul 11, 2006
Last updated: Jun 15, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #09413 · doing business as
Walgreens #09413 · 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 1831124841

Walgreen Co's National Provider Identifier is 1831124841, issued on Jul 11, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Camillus, NY. The record was last updated on Jun 15, 2026.