WALGREENS #04528
NPI 1255346490
Pharmacy in Riviera Beach, FL

Active since July 29, 2006CLIA 10D2012453 · Waiver
1920 W BLUE HERON BLVD, RIVIERA BEACH, FL 33404(561) 842-2868 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 15, 2018, May 22, 2018 (2 updates tracked since 2018).

About Walgreens #04528 NPPES

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

WALGREENS #04528 (NPI 1255346490) is a healthcare organization registered as a pharmacy in Riviera Beach, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1255346490
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1920 W BLUE HERON BLVDRiviera Beach, FL 33404-5150
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateJuly 29, 2006
Last NPPES UpdateJune 15, 20182 updates tracked since enumeration
NPI 1255346490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in FL · PH0016463
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
1920 W BLUE HERON BLVD, Riviera Beach, FL 33404

Other Names 1

Doing Business AsWalgreens #04528

Other Identifiers 3

Medicaid106605600FL
Medicaid106605601 DMEFL
Other1085251Other Id Number-commercial Number

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 10D2012453

Walgreen Co · Riviera Beach, FL
Active · expires Aug 17, 2027
CLIA Number10D2012453
Laboratory TypePharmacy
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorAsif Rahman
Laboratory Phone(561) 868-6464
Laboratory LocationWalgreen Co2501 Broadway, Riviera Beach, FL 33404
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Pharmacist
1920 W BLUE HERON BLVD
RIVIERA BEACH, FL 33404
Pharmacist
1920 W BLUE HERON BLVD
RIVIERA BEACH, FL 33404

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 1255346490. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #04528.

Where is Walgreen Co located?

Walgreen Co is located at 1920 W Blue Heron Blvd, Riviera Beach, FL 33404. The listed phone number is (561) 842-2868.

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 10D2012453) is associated with this NPI, valid through August 17, 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 June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.