WALGREENS #03616
NPI 1174530059
Pharmacy in Milwaukee, WI
About Walgreens #03616 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALGREENS #03616 (NPI 1174530059) is a healthcare organization registered as a pharmacy in Milwaukee, Wisconsin and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists John A Mann, Assistant Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 5
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 52D2231111
Walgreens #04471 · Milwaukee, WIOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1174530059. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Walgreens #03616.
Where is Walgreen Co located?
Walgreen Co is located at 8488 W Brown Deer Rd, Milwaukee, WI 53224. The listed phone number is (414) 355-9400.
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 52D2231111) is associated with this NPI, valid through July 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Walgreen Co was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Walgreens #03616 · NPI 1174530059
Pharmacy organization in Milwaukee, Wisconsin. Organization record, active in the CMS NPPES registry since August 2, 2006.
## Identity
- **NPI:** 1174530059 (Entity type: Organization)
- **Enumerated:** August 2, 2006
- **Primary specialty:** Pharmacy · taxonomy 333600000X
- **Legal business name:** Walgreen Co
- **Organization subpart:** Yes (part of Walgreens Boots Alliance Inc)
- **Authorized official:** John Mann, ASSISTANT SECRETARY
## Practice location
- **Address:** 8488 W BROWN DEER RD, Milwaukee, WI 53224-2111
- **Phone:** (414) 355-9400
## Record status
- **NPPES last updated:** February 26, 2015
- **Other identifiers:** Other 5114145; Medicare PIN PHC049; Medicare NSC 0282931670; and 2 more
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1174530059) · Data from the CMS NPPES public registry.