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WALGREENS SPECIALTY PHARMACY #16422
NPI 1134582398
Pharmacy in Columbus, OH

Active since April 04, 2016CLIA Certified · 2 labs
114 W 3RD AVE, STE 114, COLUMBUS, OH 43201(614) 456-1108(614) 456-1209 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2024, May 6, 2022, Jan 19, 2017 and 1 more (4 updates tracked since 2016).

About Walgreens Specialty Pharmacy #16422 NPPES

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

WALGREENS SPECIALTY PHARMACY #16422 (NPI 1134582398) is a healthcare organization registered as a pharmacy in Columbus, Ohio and active in the NPI registry since April 2016. The organization holds 2 active CLIA laboratory certificates and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1134582398
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address114 W 3RD AVE, STE 114Columbus, OH 43201-3211
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Phone(614) 456-1108
Fax(614) 456-1209
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateApril 4, 2016
Last NPPES UpdateDecember 4, 20244 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1134582398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in OH · 022595850
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
114 W 3RD AVE, Columbus, OH 43201
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Other Names 1

Doing Business AsWalgreens Specialty Pharmacy #16422

Other Identifiers 2

Medicaid0188664OH
Other3684265OH · Ncpdp

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 36D2258979

Walgreens #16422 · Columbus, OH
Active · expires Apr 28, 2028
CLIA Number36D2258979
Laboratory TypePharmacy
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorJill Garress
Laboratory Phone(614) 456-1108
Laboratory LocationWalgreens #16422114 W 3rd Ave, Suite 114, Columbus, OH 43201
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 36D2287396

Walgreens 21398 · Columbus, OH
Active · expires Aug 13, 2027
CLIA Number36D2287396
Laboratory TypePharmacy
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorOlivia A. Dunning
Laboratory Phone(614) 493-4350
Laboratory LocationWalgreens 213981782 N High St, Columbus, OH 43201
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Community Walgreens Pharmacy 16422 carries, from the Medicare DMEPOS supplier directory.

Community Walgreens Pharmacy 16422

DMEPOS supplier · Columbus, OHOperated by Walgreen Co
✔

Accepts Medicare assignment

Community Walgreens Pharmacy 16422 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)20395955
Medicare Participant SinceMarch 1, 2022
Supplier Location114 W 3rd Ave Ste 114Columbus, OH 43201
Phone(614) 456-1108
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 3

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

DENISE LYNN DAVIS M.D.
Physical Medicine & Rehabilitation
114 W 3RD AVE
COLUMBUS, OH 43201
Franklin County (614) 299-9320
SURGERY & GYNECOLOGY INC
Obstetrics & Gynecology
114 W 3RD AVE, STE R
COLUMBUS, OH 43201
Franklin County (614) 294-1603
DENISE L. DAVIS, MD, LLC
Physical Medicine & Rehabilitation
114 W 3RD AVE
COLUMBUS, OH 43201
Franklin County (614) 299-9320

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 1134582398. It was assigned to this organization in the NPPES registry on April 4, 2016. The provider is doing business as Walgreens Specialty Pharmacy #16422.

Where is Walgreen Co located?

Walgreen Co is located at 114 W 3rd Ave Ste 114, Columbus, OH 43201. The listed phone number is (614) 456-1108.

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, Community Walgreens Pharmacy 16422 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.