WALGREENS #04141
NPI 1114934296
Pharmacy in Lauderdale Lakes, FL

Active since August 02, 2006CLIA 10D2013119 · Waiver
3099 N STATE ROAD 7, LAUDERDALE LAKES, FL 33313(954) 485-9161 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walgreens #04141 NPPES

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

WALGREENS #04141 (NPI 1114934296) is a healthcare organization registered as a pharmacy in Lauderdale Lakes, Florida and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 5, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1114934296
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3099 N STATE ROAD 7Lauderdale Lakes, FL 33313-1913
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc.
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateAugust 2, 2006
Last NPPES UpdateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
NPI 1114934296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in FL · PH19008
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
3099 N STATE ROAD 7, Lauderdale Lakes, FL 33313

Other Names 1

Doing Business AsWalgreens #04141

Other Identifiers 3

Medicaid025917900FL
Medicaid025917901 DMEFL
Other1096850Other Id Number-commercial Number

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 10D2013119

Walgreens #04141 · Lauderdale Lakes, FL
Active · expires Jul 5, 2027
CLIA Number10D2013119
Laboratory TypePharmacy
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorLorraine Sims-Kirkland
Laboratory Phone(954) 485-9161
Laboratory LocationWalgreens #041413099 N State Rd 7, Lauderdale Lakes, FL 33313
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #4141 carries, from the Medicare DMEPOS supplier directory.

Walgreens #4141

DMEPOS supplier · Lauderdale Lakes, FLOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #4141 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)20373323
Medicare Participant SinceMarch 1, 2022
Supplier Location3099 N State Road 7Lauderdale Lakes, FL 33313
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.

Other Providers at the Same Location NPPES 11

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

Pharmacist
3099 N STATE ROAD 7
LAUDERDALE LAKES, FL 33313
Pharmacist
3099 N STATE ROAD 7
LAUDERDALE LAKES, FL 33313
Pharmacist
3099 N STATE ROAD 7
LAUDERDALE LAKES, FL 33313
Pharmacist
3099 N STATE ROAD 7
LAUDERDALE LAKES, FL 33313
Pharmacist
3099 N STATE ROAD 7
LAUDERDALE LAKES, FL 33313
Pharmacist
3099 N STATE ROAD 7
LAUDERDALE LAKES, FL 33313
Pharmacist
3099 N STATE ROAD 7
LAUDERDALE LAKES, FL 33313
Pharmacist
3099 N STATE ROAD 7
LAUDERDALE LAKES, FL 33313

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 1114934296. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Walgreens #04141.

Where is Walgreen Co located?

Walgreen Co is located at 3099 N State Road 7, Lauderdale Lakes, FL 33313. The listed phone number is (954) 485-9161.

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 #4141 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 10D2013119) 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 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 March 31, 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.