Active NPI
Walgreen Co.
Doing business as Vermeer Family Pharmacy
- Institutional Pharmacy
- Pella, IA
National Provider Identifier
1164578134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- Legal business name
- WALGREEN CO.
- Doing business as
- Vermeer Family Pharmacy
- Practice address
- 1610 E Vermeer Rd # Plant 3 1/2 Ste 100RX
Pella, IA 50219-7658 - Phone
- (641) 651-3034
- Fax
- (641) 651-3037
- NPI assigned
- Jan 25, 2007
- Last updated
- Oct 12, 2026
- Organization subpart
- Yes
- Parent organization
- WALGREENS HOLDING COMPANY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kira Taylor
- Title
- Manager
- Phone
- (217) 709-2351
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 1286 | IA | |
| Institutional Pharmacy | 3336I0012X | Primary |
Addresses
Primary practice location
1610 E Vermeer Rd # Plant 3 1/2 Ste 100RX
Pella, IA 50219-7658
Mailing address
1901 E Voorhees St
Ms 790
Danville, IL 61834-4509
Phone (217) 709-2351
Other names 1
- Vermeer Family Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070917000779 | TX | Part B Supplier - Centralized Flu Biller | 0941278253 | This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2175200 | Vermeer Family Pharmacy | Certificate of waiver | Nov 17, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Walgreen Co
- Part of
- Walgreens 17667
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
1610 E Vermeer Rd
Ste 100RX
Pella, IA 50219
Phone (641) 651-3034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791763200000",
"number": "1164578134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 E VOORHEES ST",
"address_2": "MS 790",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618344509",
"telephone_number": "217-709-2351",
"fax_number": "217-709-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 E VERMEER RD # PLANT 3 1/2 STE 100RX",
"city": "PELLA",
"state": "IA",
"postal_code": "502197658",
"telephone_number": "641-651-3034",
"fax_number": "641-651-3037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREEN CO.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WALGREENS HOLDING COMPANY",
"enumeration_date": "2007-01-25",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "KIRA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "217-709-2351"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IA",
"license": "1286",
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vermeer Family Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vermeer Family Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pella, IA
- Sarah Christine Vogel
- Suzanne Vonseggern, RPH
- Connie Louise Vos, PTA
- Libbie Nichole Vos, MS, CCC-SLP
- Jennifer L Wadle, PA-C
- Walgreen Co. (Pella Corporation Pharmacy)
- Wallips Dialysis, LLC (Pella Dialysis)
- Walmart Inc. (Walmart Pharmacy 10-0751)
- Michael Gary Walsh, M.D.
- Washington St. Dental (Recker Dental Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.