WALGREENS #15017
NPI 1053677948
Pharmacy in Orlando, FL

Active since April 05, 2012CLIA 10D2051745 · Waiver
11018 INTERNATIONAL DR, ORLANDO, FL 32821(407) 597-5053(407) 345-4972 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2022, Apr 22, 2019, May 10, 2018 and 1 more (4 updates tracked since 2016).

About Walgreens #15017 NPPES

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

WALGREENS #15017 (NPI 1053677948) is a healthcare organization registered as a pharmacy in Orlando, Florida and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through June 9, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1053677948
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address11018 INTERNATIONAL DROrlando, FL 32821-7322
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(407) 345-4972
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateApril 5, 2012
Last NPPES UpdateApril 25, 20224 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
NPI 1053677948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in FL · PH24437
Definition

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 located.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
11018 INTERNATIONAL DR, Orlando, FL 32821

Other Names 1

Doing Business AsWalgreens #15017

Other Identifiers 3

Medicaid006642201FL
Other5709843FL · Ncpdp
Medicaid006642200FL

Accepted Insurance

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 10D2051745

Walgreens Co · Orlando, FL
Active · expires Jun 9, 2027
CLIA Number10D2051745
Laboratory TypePharmacy
Certificate Effective DateJune 10, 2025
Certificate Expiration DateJune 9, 2027
Laboratory DirectorThao P. Vo
Laboratory Phone(407) 597-5053
Laboratory LocationWalgreens Co11018 International Dr, Orlando, FL 32821
CLIA data matches this NPI record on: Address 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 #15017 carries, from the Medicare DMEPOS supplier directory.

Walgreens #15017

DMEPOS supplier · Orlando, FLOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #15017 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)20388221
Medicare Participant SinceMarch 1, 2022
Supplier Location11018 International DrOrlando, FL 32821
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 Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1053677948. It was assigned to this organization in the NPPES registry on April 5, 2012. The provider is doing business as Walgreens #15017.

Where is Walgreen Co located?

Walgreen Co is located at 11018 International Dr, Orlando, FL 32821. The listed phone number is (407) 597-5053.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Walgreen Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #15017 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2051745) is associated with this NPI, valid through June 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walgreen Co accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 39 other insurers list Walgreen Co as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on April 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.