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WALGREENS #19667
NPI 1215451554
Pharmacy in Northfield, NJ

Active since July 28, 2017CLIA 31D2191460 · Waiver
1315 NEW RD, NORTHFIELD, NJ 08225(609) 641-7487(609) 641-1147 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2022, Oct 25, 2019, Jun 15, 2018 and 3 more (6 updates tracked since 2017).

About Walgreens #19667 NPPES

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

WALGREENS #19667 (NPI 1215451554) is a healthcare organization registered as a pharmacy in Northfield, New Jersey and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through August 26, 2026 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1215451554
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1315 NEW RDNorthfield, NJ 08225-1209
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(609) 641-7487
Fax(609) 641-1147
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 28, 2017
Last NPPES UpdateJune 9, 20226 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
✔ NPI 1215451554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NJ · 28RS00126500
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
1315 NEW RD, Northfield, NJ 08225
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Other Names 1

Doing Business AsWalgreens #19667

Other Identifiers 2

Medicaid0614025NJ
Other3154438NJ · 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 31D2191460

Walgreens # 19667 · Northfield, NJ
Active · expires Aug 26, 2026
CLIA Number31D2191460
Laboratory TypeCovid 19 Test Site
Certificate Effective DateAugust 27, 2024
Certificate Expiration DateAugust 26, 2026
Laboratory DirectorSandhya Nuthalapati
Laboratory Phone(908) 842-3607
Laboratory LocationWalgreens # 196671315 New Road, Northfield, NJ 08225
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 Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · Northfield, NJ
✔

Accepts Medicare assignment

Walgreen Co 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)20380247
Medicare Participant SinceMarch 1, 2022
Supplier Location1315 New RdNorthfield, NJ 08225
Phone(609) 641-7487
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.

DR. BOBBY TRUONG PHARM.D.
Pharmacist
1315 NEW RD
NORTHFIELD, NJ 08225
Atlantic County (609) 641-7487
SANDHYA NUTHALAPATI
Pharmacist
1315 NEW RD
NORTHFIELD, NJ 08225
Atlantic County (609) 641-7487

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 1215451554. It was assigned to this organization in the NPPES registry on July 28, 2017. The provider is doing business as Walgreens #19667.

Where is Walgreen Co located?

Walgreen Co is located at 1315 New Rd, Northfield, NJ 08225. The listed phone number is (609) 641-7487.

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, Walgreen Co 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 31D2191460) is associated with this NPI, valid through August 26, 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 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 June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.