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WALGREENS #12359
NPI 1144647629
Pharmacy in Alexandria, VA

Active since March 24, 2014CLIA 49D2290566 · Waiver
1517 MOUNT VERNON AVE, ALEXANDRIA, VA 22301(703) 838-5709(703) 838-9586 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Jan 12, 2016 (2 updates tracked since 2016).

About Walgreens #12359 NPPES

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

WALGREENS #12359 (NPI 1144647629) is a healthcare organization registered as a pharmacy in Alexandria, Virginia and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through September 26, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1144647629
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1517 MOUNT VERNON AVEAlexandria, VA 22301-1717
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(703) 838-5709
Fax(703) 838-9586
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateMarch 24, 2014
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1144647629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in VA · 0201004583
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
1517 MOUNT VERNON AVE, Alexandria, VA 22301
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Other Names 1

Doing Business AsWalgreens #12359

Other Identifiers 1

Other4845206VA · 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

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 49D2290566

Walgreens 12359 · Alexandria, VA
Active · expires Sep 26, 2027
CLIA Number49D2290566
Laboratory TypePharmacy
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorSarbjot Sachdeva
Laboratory Phone(703) 838-5709
Laboratory LocationWalgreens 123591517 Mount Vernon Ave, Alexandria, VA 22301
CLIA data matches this NPI record on: Address Name Phone
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 #12359 carries, from the Medicare DMEPOS supplier directory.

Walgreens #12359

DMEPOS supplier · Alexandria, VAOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #12359 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)20388275
Medicare Participant SinceMarch 1, 2022
Supplier Location1517 Mount Vernon AveAlexandria, VA 22301
Phone(703) 838-5709
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 2

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

MEKURIA GEBREMARIAM RPH
Pharmacist
1517 MOUNT VERNON AVE
ALEXANDRIA, VA 22301
Alexandria City (703) 838-5709
SOUMEYE MOUSTAPHA
Pharmacist
1517 MOUNT VERNON AVE
ALEXANDRIA, VA 22301
Alexandria City (703) 838-5709

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 1144647629. It was assigned to this organization in the NPPES registry on March 24, 2014. The provider is doing business as Walgreens #12359.

Where is Walgreen Co located?

Walgreen Co is located at 1517 Mount Vernon Ave, Alexandria, VA 22301. The listed phone number is (703) 838-5709.

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 #12359 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 49D2290566) is associated with this NPI, valid through September 26, 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 39 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 September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.