WALGREEN CO
NPI 1295276798
Pharmacist in Melbourne, FL

Active since March 16, 2017CLIA 10D2227180 · Waiver
975 S BABCOCK ST, MELBOURNE, FL 32901(321) 723-4664 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2018, Mar 16, 2017 (2 updates tracked since 2017).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1295276798) is a healthcare organization registered as a pharmacist in Melbourne, Florida and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Anh Tran Phan, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1295276798
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameWALGREEN CO
Location Address975 S BABCOCK STMelbourne, FL 32901-1852
Mailing Address975 S Babcock StMelbourne, FL 32901-1852 · (321) 723-4664
Organization SubpartNo
Authorized OfficialAnh Tran PhanPharmacist · (704) 491-7126
Enumeration DateMarch 16, 2017
Last NPPES UpdateMay 9, 20182 updates tracked since enumeration
NPI 1295276798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · PS66879
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

975 S BABCOCK ST, Melbourne, FL 32901

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 10D2227180

Walgreen Co · Melbourne, FL
Active · expires Jun 8, 2027
CLIA Number10D2227180
Laboratory TypePharmacy
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorCollen W. Zsiga
Laboratory Phone(312) 723-4664
Laboratory LocationWalgreen Co975 S Babcock St, Melbourne, FL 32901
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreen #3080 carries, from the Medicare DMEPOS supplier directory.

Walgreen #3080

DMEPOS supplier · Melbourne, FLOperated by Walgreen Co

Accepts Medicare assignment

Walgreen #3080 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)20361239
Medicare Participant SinceMarch 1, 2022
Supplier Location975 S Babcock StMelbourne, FL 32901
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 4

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

Pharmacist
975 S BABCOCK ST
MELBOURNE, FL 32901
Pharmacist
975 S BABCOCK ST
MELBOURNE, FL 32901
Pharmacy
975 S BABCOCK ST
MELBOURNE, FL 32901
Pharmacist
975 S BABCOCK ST
MELBOURNE, FL 32901

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 1295276798. It was assigned to this organization in the NPPES registry on March 16, 2017.

Where is Walgreen Co located?

Walgreen Co is located at 975 S Babcock St, Melbourne, FL 32901. The listed phone number is (321) 723-4664.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Does Walgreen Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreen #3080 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 10D2227180) is associated with this NPI, valid through June 8, 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 May 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.