WALGREENS #12410
NPI 1144571266
Pharmacy in Fort Worth, TX

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1144571266. It was assigned to this organization in the NPPES registry on September 28, 2012. The provider is doing business as Walgreens #12410.

Q: What is Walgreen Co's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since September 28, 2012CLIA 45D2061506 · Waiver

12450 TIMBERLAND BLVD, FORT WORTH, TX 76244(817) 431-8330(817) 431-4662 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2024, Feb 23, 2023, Jun 10, 2019 and 2 more (5 updates tracked since 2016).

On this page

About Walgreens #12410 NPPES

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

WALGREENS #12410 (NPI 1144571266) is a healthcare organization registered as a pharmacy in Fort Worth, Texas and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1144571266

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address12450 TIMBERLAND BLVDFort Worth, TX 76244-5554

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344

Phone(817) 431-8330

Fax(817) 431-4662

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialJennifer PonceManager · (847) 527-2489

Enumeration DateSeptember 28, 2012

Last NPPES UpdateOctober 10, 20245 updates tracked since enumeration

NPPES CertifiedOctober 10, 2024

✔ NPI 1144571266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in TX · 28301

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 ListedClinical Medical LaboratoryTaxonomy 291U00000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

12450 TIMBERLAND BLVD, Fort Worth, TX 76244

Open in Google Maps ↗

Other Names 1

Doing Business AsWalgreens #12410

Other Identifiers 3

Medicaid468089TX

Other5907134TX · Ncpdp

Medicaid466867TX

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 45D2061506

Walgreens #12410 · Fort Worth, TX

Active · expires Aug 30, 2026

CLIA Number45D2061506

Laboratory TypeCovid Testing Site

Certificate Effective DateAugust 31, 2024

Certificate Expiration DateAugust 30, 2026

Laboratory DirectorCody A. Cribbs

Laboratory Phone(469) 705-8184

Laboratory LocationWalgreens #1241012450 Timberland Blvd, Fort Worth, TX 76244

CLIA data matches this NPI record on: Address 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 Walgreens # 12410 carries, from the Medicare DMEPOS supplier directory.

Walgreens # 12410

DMEPOS supplier · Fort Worth, TXOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens # 12410 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)20384969

Medicare Participant SinceMarch 1, 2022

Supplier Location12450 Timberland BlvdFort Worth, TX 76244

Phone(817) 431-8330

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

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

REBECCA IFEYINWA FELIX-GEORGE PHARM D

Pharmacist

12450 TIMBERLAND BLVD
FORT WORTH, TX 76244

Tarrant County (817) 431-8330

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 1144571266. It was assigned to this organization in the NPPES registry on September 28, 2012. The provider is doing business as Walgreens #12410.

Where is Walgreen Co located?

Walgreen Co is located at 12450 Timberland Blvd, Fort Worth, TX 76244. The listed phone number is (817) 431-8330.

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 # 12410 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 45D2061506) is associated with this NPI, valid through August 30, 2026. 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 46 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 October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.