1. Home
  2. Directory
  3. Florida
  4. Palm Coast
  5. Pharmacy
  6. NPI Profile

WALGREENS #05808
NPI 1285641266
Pharmacy in Palm Coast, FL

Active since August 02, 2006CLIA 10D2242221 · Waiver
215 PALM COAST PKWY NE, PALM COAST, FL 32137(386) 986-2824 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2022, May 7, 2018, Nov 26, 2015 (3 updates tracked since 2015).

About Walgreens #05808 NPPES

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

WALGREENS #05808 (NPI 1285641266) is a healthcare organization registered as a pharmacy in Palm Coast, Florida and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through November 4, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1285641266
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address215 PALM COAST PKWY NEPalm Coast, FL 32137-8218
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(386) 986-2824
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateAugust 2, 2006
Last NPPES UpdateApril 29, 20223 updates tracked since enumeration
NPPES CertifiedApril 29, 2022
✔ NPI 1285641266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PH19653
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
215 PALM COAST PKWY NE, Palm Coast, FL 32137
Open in Google Maps ↗

Other Names 1

Doing Business AsWalgreens #05808

Other Identifiers 3

Medicaid026614101 DMEFL
Medicaid026614100FL
Other1099894Other Id Number-commercial Number

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 10D2242221

Walgreen Co · Palm Coast, FL
Active · expires Nov 4, 2027
CLIA Number10D2242221
Laboratory TypePharmacy
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorKarine S. Uhrich
Laboratory Phone(386) 986-2824
Laboratory LocationWalgreen Co215 Palm Coast Pkwy NE, Palm Coast, FL 32137
CLIA data matches this NPI record on: Address 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.
503 services500 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.
352 services349 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.
137 services137 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.
59 services59 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.
59 services59 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #5808 carries, from the Medicare DMEPOS supplier directory.

Walgreens #5808

DMEPOS supplier · Palm Coast, FLOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #5808 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)20374325
Medicare Participant SinceMarch 1, 2022
Supplier Location215 Palm Coast Pkwy NEPalm Coast, FL 32137
Phone(386) 986-2824
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 3

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

MISS LINDA MAE STAFFON PHARMD
Pharmacist
215 PALM COAST PKWY NE
PALM COAST, FL 32137
Flagler County (386) 986-2824
DR. JAMES NEAL HARRIS PHARMD
Pharmacist
215 PALM COAST PKWY NE
PALM COAST, FL 32137
Flagler County (386) 986-2824
GLENN P MORIN RPH
Pharmacist
215 PALM COAST PKWY NE
PALM COAST, FL 32137
Flagler County (386) 986-2824

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 1285641266. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Walgreens #05808.

Where is Walgreen Co located?

Walgreen Co is located at 215 Palm Coast Pkwy NE, Palm Coast, FL 32137. The listed phone number is (386) 986-2824.

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 #5808 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 10D2242221) is associated with this NPI, valid through November 4, 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 41 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 April 29, 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.