WALGREENS - NPI 1053715490 - Pharmacy in Arlington, TX

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

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About Walgreens NPPES

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

WALGREENS (NPI 1053715490) is a healthcare organization registered as a community/retail pharmacy in Arlington, Texas and active in the NPI registry since October 2014. The organization holds 2 active CLIA laboratory certificates and lists Jerry Padilla, Pharmacy Supervisor, as its authorized official.

NPPES Registry Identity

NPI1053715490

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWALGREENS

Location Address8100 MATLOCK RDArlington, TX 76002-4102

Mailing Address1134 Hidden Rdg, Apt 2184Irving, TX 75038-7989

Phone(817) 473-8580

Organization SubpartNo

Authorized OfficialJerry PadillaPharmacy Supervisor · (972) 822-2600

Enumeration DateOctober 14, 2014

✔ NPI 1053715490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in TX · 55743

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

8100 MATLOCK RD, Arlington, TX 76002

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CLIA Laboratory Certificates CMS CLIA 2

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 45D2072160

Walgreens #06998 · Arlington, TX

Active · expires May 23, 2027

CLIA Number45D2072160

Laboratory TypePharmacy

Certificate Effective DateMay 24, 2025

Certificate Expiration DateMay 23, 2027

Laboratory DirectorFreddie Yeung

Laboratory Phone(817) 473-8674

Laboratory LocationWalgreens #069988100 Matlock Rd, Arlington, TX 76002

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2072609

Walgreens #3847 · Irving, TX

Active · expires Dec 15, 2026

CLIA Number45D2072609

Laboratory TypePharmacy

Certificate Effective DateDecember 16, 2024

Certificate Expiration DateDecember 15, 2026

Laboratory DirectorCody Cribbs

Laboratory Phone(972) 753-6506

Laboratory LocationWalgreens #38475310 N Macarthur Blvd, Irving, TX 75038

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. IVANETTA MICHELLE JONES PHARMD.

Pharmacist