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WALGREENS
NPI 1215219241
Pharmacy - Community/Retail Pharmacy in Port St Lucie, FL

Active since September 15, 2011CLIA 10D2011976 · Waiver
1661 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986(772) 873-1892 Get Directions Write a Review

NPPES record last updated: September 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walgreens NPPES

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

WALGREENS (NPI 1215219241) is a healthcare organization registered as a community/retail pharmacy in Port St Lucie, Florida and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Kara Denyse Menesick, Registered Immunizing Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1215219241
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREENS
Location Address1661 NW SAINT LUCIE WEST BLVDPort St Lucie, FL 34986-2106
Mailing Address2619 Ne Sabal Palm WayJensen Beach, FL 34957-6509 · (772) 215-2490
Phone(772) 873-1892
Organization SubpartNo
Authorized OfficialKara Denyse MenesickRegistered Immunizing Pharmacist · (772) 215-2490
Enumeration DateSeptember 15, 2011
✔ NPI 1215219241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PS47625
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1661 NW SAINT LUCIE WEST BLVD, Port St Lucie, FL 34986
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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 10D2011976

Walgreen Co · Port Saint Lucie, FL
Active · expires May 23, 2027
CLIA Number10D2011976
Laboratory TypePharmacy
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorJim Lohse
Laboratory Phone(772) 873-1892
Laboratory LocationWalgreen Co1661 NW Saint Lucie West Blvd, Port Saint Lucie, FL 34986
CLIA data matches this NPI record on: 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 #4804 carries, from the Medicare DMEPOS supplier directory.

Walgreens #4804

DMEPOS supplier · Port St Lucie, FLOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #4804 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)20399417
Medicare Participant SinceMarch 1, 2022
Supplier Location1661 NW Saint Lucie West BlvdPort St Lucie, FL 34986
Phone(772) 873-1892
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 6

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

MOHAMMAD MANSY
Pharmacist
1661 NW SAINT LUCIE WEST BLVD
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 873-1897
MR. ROBERT D. EVANS RPH
Pharmacist
1661 NW SAINT LUCIE WEST BLVD
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 873-1892
WALGREEN CO
Pharmacy
1661 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 873-1892
DR. DONALD DEAN DORRINGTON JR.
Pharmacist
1661 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 873-1892
MR. PAUL MATALA
Pharmacist
1661 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 873-1892
DR. ANDREA MICHELLE COHEN PHARMD
Pharmacist
1661 NW SAINT LUCIE WEST BLVD
PORT SAINT LUCIE, FL 34986
St. Lucie County (978) 855-0018

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 Walgreens's NPI number?

The NPI number for Walgreens is 1215219241. It was assigned to this organization in the NPPES registry on September 15, 2011.

Where is Walgreens located?

Walgreens is located at 1661 NW Saint Lucie West Blvd, Port St Lucie, FL 34986. The listed phone number is (772) 873-1892.

What is Walgreens's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walgreens accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #4804 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreens hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2011976) is associated with this NPI, valid through May 23, 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 Walgreens was last updated on September 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.