WALGREEN CO.
NPI 1154176949
Pharmacy in Severna Park, MD

Q: What is Walgreen Co.'s NPI number?

The NPI number for Walgreen Co. is 1154176949. It was assigned to this organization in the NPPES registry on April 23, 2024. The provider is doing business as Walgreens #11501.

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 April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 23, 2024CLIA 21D2061160 · Waiver

496 RITCHIE HWY, SEVERNA PARK, MD 21146(410) 544-1291 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Walgreen Co. NPPES

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

WALGREEN CO. (NPI 1154176949), doing business as Walgreens #11501, is a healthcare organization registered as a pharmacy in Severna Park, Maryland and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Virginia Garza, Director - Ar Central, as its authorized official.

NPPES Registry Identity

NPI1154176949

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO.

Location Address496 RITCHIE HWYSeverna Park, MD 21146-2911

Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2364 · Fax (217) 709-2344

Phone(410) 544-1291

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialVirginia GarzaDirector - Ar Central · (217) 709-2364

Enumeration DateApril 23, 2024

NPPES CertifiedApril 23, 2024

✔ NPI 1154176949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

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

496 RITCHIE HWY, Severna Park, MD 21146

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Other Names 1

Doing Business AsWalgreens #11501

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 21D2061160

Walgreens #11501 · Severna Park, MD

Active · expires Nov 6, 2027

CLIA Number21D2061160

Laboratory TypePharmacy

Certificate Effective DateNovember 7, 2025

Certificate Expiration DateNovember 6, 2027

Laboratory DirectorBlanche M. Ndifon

Laboratory Phone(410) 544-1291

Laboratory LocationWalgreens #11501496 Ritchie Hwy, Severna Park, MD 21146

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. THOMAS HARLOWE ROOT PHARMD

Pharmacist