WALGREENS #12122
NPI 1255570404
Pharmacy in Port St Lucie, FL

Active since February 11, 2009CLIA 10D2226717 · Waiver
1954 SW GATLIN BLVD, PORT ST LUCIE, FL 34953(772) 224-3020(772) 878-9388 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2018, Jan 12, 2016 (2 updates tracked since 2016).

About Walgreens #12122 NPPES

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

WALGREENS #12122 (NPI 1255570404) is a healthcare organization registered as a pharmacy in Port St Lucie, Florida and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1255570404
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address1954 SW GATLIN BLVDPort St Lucie, FL 34953-2722
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(772) 878-9388
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateFebruary 11, 2009
Last NPPES UpdateMarch 29, 20222 updates tracked since enumeration
NPPES CertifiedMarch 29, 2022
NPI 1255570404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in FL · PH23987
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
1954 SW GATLIN BLVD, Port St Lucie, FL 34953

Other Names 1

Doing Business AsWalgreens #12122

Other Identifiers 3

Medicaid000917500FL
Other000917501FL · Fl Medicaid Dme
Other1042821Ncpdp

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 10D2226717

Walgreen Co · Port Saint Lucie, FL
Active · expires Jun 2, 2027
CLIA Number10D2226717
Laboratory TypePharmacy
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorAlmanda A. Hume
Laboratory Phone(772) 224-3020
Laboratory LocationWalgreen Co1954 SW Gatlin Blvd, Port Saint Lucie, FL 34953
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
214 services210 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
147 services145 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
60 services60 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
22 services22 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
20 services20 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #12122 carries, from the Medicare DMEPOS supplier directory.

Walgreens #12122

DMEPOS supplier · Port St Lucie, FLOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #12122 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)20387951
Medicare Participant SinceMarch 1, 2022
Supplier Location1954 SW Gatlin BlvdPort St Lucie, FL 34953
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 5

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

Pharmacist
1954 SW GATLIN BLVD
PORT ST LUCIE, FL 34953
Pharmacist
1954 SW GATLIN BLVD
PORT ST LUCIE, FL 34953
Pharmacist
1954 SW GATLIN BLVD
PORT SAINT LUCIE, FL 34953
Pharmacist
1954 SW GATLIN BLVD
PORT ST LUCIE, FL 34953
Pharmacist
1954 SW GATLIN BLVD
PORT ST LUCIE, FL 34953

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 1255570404. It was assigned to this organization in the NPPES registry on February 11, 2009. The provider is doing business as Walgreens #12122.

Where is Walgreen Co. located?

Walgreen Co. is located at 1954 SW Gatlin Blvd, Port St Lucie, FL 34953. The listed phone number is (772) 224-3020.

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, Walgreens #12122 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 10D2226717) is associated with this NPI, valid through June 2, 2027. 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 40 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 March 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.