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WALGREENS #04773
NPI 1083629232
Pharmacy in Oakland Park, FL

Active since July 29, 2006CLIA Certified · 2 labs
110 NE 44TH ST, OAKLAND PARK, FL 33334(954) 563-3009 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2022, May 7, 2018, Nov 13, 2015 (3 updates tracked since 2015).

About Walgreens #04773 NPPES

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

WALGREENS #04773 (NPI 1083629232) is a healthcare organization registered as a pharmacy in Oakland Park, Florida and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1083629232
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address110 NE 44TH STOakland Park, FL 33334-1440
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(954) 563-3009
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 29, 2006
Last NPPES UpdateApril 13, 20223 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
✔ NPI 1083629232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PH0017122
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
110 NE 44TH ST, Oakland Park, FL 33334
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Other Names 1

Doing Business AsWalgreens #04773

Other Identifiers 3

Other1087421Other Id Number-commercial Number
Medicaid022049301 DMEFL
Medicaid022049300FL

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 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 10D2229832

Walgreen Co · Oakland Park, FL
Active · expires Jul 15, 2027
CLIA Number10D2229832
Laboratory TypePharmacy
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorLinda Chong
Laboratory Phone(954) 563-3009
Laboratory LocationWalgreen Co110 NE 44th St, Oakland Park, FL 33334
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2005887

Walgreen Co · Oakland Park, FL
Active · expires Aug 3, 2027
CLIA Number10D2005887
Laboratory TypePharmacy
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorNatasha Decal
Laboratory Phone(847) 527-3972
Laboratory LocationWalgreen Co601 E Commercial Blvd, Oakland Park, FL 33334
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
71 services71 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
43 services43 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
26 services26 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
13 services13 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
13 services13 patients

Other Providers at the Same Location NPPES 2

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

LINDA CHONG
Pharmacist
110 NE 44TH ST
OAKLAND PARK, FL 33334
Broward County (954) 563-3009
MYRLANDE SAINTIL
Pharmacist
110 NE 44TH ST
OAKLAND PARK, FL 33334
Broward County (954) 563-3009

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 1083629232. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #04773.

Where is Walgreen Co located?

Walgreen Co is located at 110 NE 44th St, Oakland Park, FL 33334. The listed phone number is (954) 563-3009.

What is Walgreen Co's specialty?

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

Does Walgreen Co hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 40 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 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.