WALGREENS #04672
NPI 1265449219
Pharmacy in Brookfield, WI

Active since August 02, 2006CLIA Certified · 2 labs
2205 N CALHOUN RD, BROOKFIELD, WI 53005(262) 782-3120 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2024, Apr 13, 2022 (2 updates tracked since 2022).

About Walgreens #04672 NPPES

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

WALGREENS #04672 (NPI 1265449219) is a healthcare organization registered as a pharmacy in Brookfield, Wisconsin and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Virginia Garza, Manager, as its authorized official.

NPPES Registry Identity

NPI1265449219
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address2205 N CALHOUN RDBrookfield, WI 53005-5062
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2364 · Fax (217) 709-2344
Organization SubpartYes
Authorized OfficialVirginia GarzaManager · (217) 709-2364
Enumeration DateAugust 2, 2006
Last NPPES UpdateJune 14, 20242 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
NPI 1265449219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in WI · 8000042
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
2205 N CALHOUN RD, Brookfield, WI 53005

Other Names 1

Doing Business AsWalgreens #04672

Other Identifiers 2

Medicaid33249400WI
Other5125794Other Id Number-commercial Number

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 52D2015327

Walgreens #04672 · Brookfield, WI
Active · expires Feb 28, 2027
CLIA Number52D2015327
Laboratory TypePharmacy
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorMr. Steven Goll
Laboratory Phone(262) 782-3120
Laboratory LocationWalgreens #046722205 N Calhoun Rd, Brookfield, WI 53005
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2289902

Walgreens 04888 · Brookfield, WI
Active · expires Sep 17, 2027
CLIA Number52D2289902
Laboratory TypePharmacy
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorHeather M. Justus
Laboratory Phone(262) 786-3692
Laboratory LocationWalgreens 0488815650 W Greenfield Ave, Brookfield, WI 53005
CLIA data matches this NPI record on: Name
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.
347 services347 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.
202 services202 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.
133 services133 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.
14 services14 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.
14 services14 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #4672 carries, from the Medicare DMEPOS supplier directory.

Walgreens #4672

DMEPOS supplier · Brookfield, WIOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #4672 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)20393321
Medicare Participant SinceMarch 1, 2022
Supplier Location2205 N Calhoun RdBrookfield, WI 53005
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 11

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

Pharmacist
2205 N CALHOUN RD
BROOKFIELD, WI 53005
Pharmacist
2205 N CALHOUN RD
BROOKFIELD, WI 53005
Pharmacist
2205 N CALHOUN RD
BROOKFIELD, WI 53005
Optometrist
2205 N CALHOUN RD
BROOKFIELD, WI 53005
Nurse Practitioner
2205 N CALHOUN RD
BROOKFIELD, WI 53005
Nurse Practitioner
2205 N CALHOUN RD
BROOKFIELD, WI 53005
Optometrist
2205 N CALHOUN RD
BROOKFIELD, WI 53005
Pharmacist
2205 N CALHOUN RD
BROOKFIELD, WI 53005

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 1265449219. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Walgreens #04672.

Where is Walgreen Co located?

Walgreen Co is located at 2205 N Calhoun Rd, Brookfield, WI 53005. The listed phone number is (262) 782-3120.

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 #4672 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 42 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 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.