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WALGREENS #19707
NPI 1124542303
Pharmacy in Atlantic City, NJ

Active since July 31, 2017CLIA 31D2278998 · Waiver
1723 PACIFIC AVE, ATLANTIC CITY, NJ 08401(609) 345-1158(609) 345-2740 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2019, Jun 15, 2018, Mar 8, 2018 and 1 more (4 updates tracked since 2017).

About Walgreens #19707 NPPES

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

WALGREENS #19707 (NPI 1124542303) is a healthcare organization registered as a pharmacy in Atlantic City, New Jersey and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1124542303
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1723 PACIFIC AVEAtlantic City, NJ 08401-6808
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(609) 345-1158
Fax(609) 345-2740
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateJuly 31, 2017
Last NPPES UpdateOctober 18, 20194 updates tracked since enumeration
✔ NPI 1124542303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NJ · 28RS00500900
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
1723 PACIFIC AVE, Atlantic City, NJ 08401
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Other Names 1

Doing Business AsWalgreens #19707

Other Identifiers 2

Medicaid0614637NJ
Other3154440NJ · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 31D2278998

Walgreens Health Services, LLC · Atlantic City, NJ
Active · expires Mar 27, 2027
CLIA Number31D2278998
Laboratory TypeHealth Clinic
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorSashidaran Moodley
Laboratory Phone(609) 572-5582
Laboratory LocationWalgreens Health Services, LLC3218 Atlantic Suite 101, Atlantic City, NJ 08401
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 4

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

MELANIE NARBUT
Pharmacist
1723 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 345-1158
PRIYANKA HARDIK PATEL
Pharmacist
1723 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 345-1158
KUNAL PATEL
Pharmacist
1723 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 345-1158
MITTAL H. PATEL
Pharmacist
1723 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 748-8531

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 1124542303. It was assigned to this organization in the NPPES registry on July 31, 2017. The provider is doing business as Walgreens #19707.

Where is Walgreen Co located?

Walgreen Co is located at 1723 Pacific Ave, Atlantic City, NJ 08401. The listed phone number is (609) 345-1158.

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 31D2278998) is associated with this NPI, valid through March 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walgreen Co accept?

Health plans from Medica 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 October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.