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WALGREENS #11580
NPI 1316168503
Pharmacy in Jacksonville, FL

Active since May 02, 2007
1215 DUNN AVE STE 2, JACKSONVILLE, FL 32218(904) 751-1517 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2018, Oct 18, 2016, Jan 11, 2016 (3 updates tracked since 2016).

About Walgreens #11580 NPPES

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

WALGREENS #11580 (NPI 1316168503) is a healthcare organization registered as a pharmacy in Jacksonville, Florida and active in the NPI registry since May 2007. The organization lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1316168503
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address1215 DUNN AVE STE 2Jacksonville, FL 32218-4897
Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(904) 751-1517
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateMay 2, 2007
Last NPPES UpdateMay 9, 20183 updates tracked since enumeration
✔ NPI 1316168503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PH22695
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
1215 DUNN AVE STE 2, Jacksonville, FL 32218
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Other Names 1

Doing Business AsWalgreens #11580

Other Identifiers 3

Medicaid032044701 DMEFL
Other1025914Ncpdp
Medicaid032044700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

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 1316168503. It was assigned to this organization in the NPPES registry on May 2, 2007. The provider is doing business as Walgreens #11580.

Where is Walgreen Co. located?

Walgreen Co. is located at 1215 Dunn Ave Ste 2, Jacksonville, FL 32218. The listed phone number is (904) 751-1517.

What is Walgreen Co.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Walgreen Co. accept?

Health plans from Medica and Moda Health Plan, Inc. 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 May 9, 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.