WALGREENS
NPI 1033513171
Health Maintenance Organization in Jersey City, NJ

Active since October 17, 2014CLIA 31D2036843 · Waiver
2395 JOHN KENNEDY BLVD, JERSEY CITY, NJ 07304(201) 333-4092 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walgreens NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALGREENS (NPI 1033513171) is a healthcare organization registered as a health maintenance organization in Jersey City, New Jersey and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists John Collazzi, District Manager, as its authorized official.

NPPES Registry Identity

NPI1033513171
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameWALGREENS
Location Address2395 JOHN KENNEDY BLVDJersey City, NJ 07304
Mailing Address2395 John Kennedy BlvdJersey City, NJ 07304 · (201) 333-4092
Organization SubpartNo
Authorized OfficialJohn CollazziDistrict Manager · (201) 333-4092
Enumeration DateOctober 17, 2014
NPI 1033513171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
License Licensed in NJ · 28RI03666400
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
2395 JOHN KENNEDY BLVD, Jersey City, NJ 07304

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2036843

Walgreens#03197 · Jersey City, NJ
Active · expires Jan 31, 2027
CLIA Number31D2036843
Laboratory TypePharmacy
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorKim Herring
Laboratory Phone(201) 333-4092
Laboratory LocationWalgreens#031972395 Kennedy Blvd, Jersey City, NJ 07304
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #3197 carries, from the Medicare DMEPOS supplier directory.

Walgreens #3197

DMEPOS supplier · Jersey City, NJOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #3197 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20389415
Medicare Participant SinceMarch 1, 2022
Supplier Location2395 John F Kennedy BlvdJersey City, NJ 07304
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walgreens's NPI number?

The NPI number for Walgreens is 1033513171. It was assigned to this organization in the NPPES registry on October 17, 2014.

Where is Walgreens located?

Walgreens is located at 2395 John Kennedy Blvd, Jersey City, NJ 07304. The listed phone number is (201) 333-4092.

What is Walgreens's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

Does Walgreens accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #3197 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreens hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2036843) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walgreens was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.