WALGREENS #04189
NPI 1215942255
Pharmacy in Lake Worth, TX
About Walgreens #04189 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALGREENS #04189 (NPI 1215942255) is a healthcare organization registered as a pharmacy in Lake Worth, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 7, 2028 and lists Kira L Taylor, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
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.
Other Names 1
Other Identifiers 3
Accepted 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 45D2013150
Walgreens #04189 · Fort Worth, TXAreas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20392013
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- 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
- Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215942255, enumerated as an "organization" on July 29, 2006.
The provider is located at 6244 LAKE WORTH BLVD LAKE WORTH, TX 76135 and the phone number is (817) 238-0385.
Pharmacy with taxonomy code 333600000X.
The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.
