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WALGREENS #00105
NPI 1083625214
Pharmacy in Toa Baja, PR

Active since August 11, 2006CLIA 40D2228963 · Waiver
CARR#2 ESQUINA AVE LAS COLINAS, TOA BAJA, PR 00951(787) 779-8385(787) 779-8392 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 2, 2023, Feb 18, 2022, Feb 6, 2017 (3 updates tracked since 2017).

About Walgreens #00105 NPPES

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

WALGREENS #00105 (NPI 1083625214) is a healthcare organization registered as a pharmacy in Toa Baja, Puerto Rico and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 5, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1083625214
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location AddressCARR#2 ESQUINA AVE LAS COLINASToa Baja, PR 00951-0000
Mailing Address1901 E Voorhees St, Mailstop #790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(787) 779-8385
Fax(787) 779-8392
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 11, 2006
Last NPPES UpdateNovember 2, 20233 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1083625214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in PR · 19-F-3425
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

Other Names 1

Doing Business AsWalgreens #00105

Other Identifiers 1

Other4023204Other Id Number-commercial Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.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 40D2228963

Walgreens # 00105 · Toa Baja, PR
Active · expires Jul 5, 2027
CLIA Number40D2228963
Laboratory TypePharmacy
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorCelines Rodriguez
Laboratory Phone(787) 779-8385
Laboratory LocationWalgreens # 00105100 Calle Colina Real, Toa Baja, PR 00949
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1083625214. It was assigned to this organization in the NPPES registry on August 11, 2006. The provider is doing business as Walgreens #00105.

Where is Walgreen Co located?

Walgreen Co is located at Carr#2 Esquina Ave Las Colinas, Toa Baja, PR 00951. The listed phone number is (787) 779-8385.

What is Walgreen Co's specialty?

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

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 40D2228963) is associated with this NPI, valid through July 5, 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 37 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 November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.