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WALGREENS
NPI 1336416916
Point of Service in San Jacinto, CA

Active since November 26, 2011CLIA 05D2258584 · Waiver
2261 W ESPLANADE AVE, SAN JACINTO, CA 92582(951) 487-2383 Get Directions Write a Review

NPPES record last updated: November 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walgreens NPPES

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

WALGREENS (NPI 1336416916) is a healthcare organization registered as a point of service in San Jacinto, California and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Sean Yu, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1336416916
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameWALGREENS
Location Address2261 W ESPLANADE AVESan Jacinto, CA 92582-4704
Mailing Address2261 W Esplanade AveSan Jacinto, CA 92582-4704 · (951) 487-2383
Phone(951) 487-2383
Organization SubpartNo
Authorized OfficialSean YuPharmacy Manager · (951) 487-2383
Enumeration DateNovember 26, 2011
✔ NPI 1336416916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
2261 W ESPLANADE AVE, San Jacinto, CA 92582
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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 05D2258584

Walgreens #10368 · San Jacinto, CA
Active · expires Apr 24, 2028
CLIA Number05D2258584
Laboratory TypePharmacy
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorSean Yu
Laboratory Phone(951) 487-2383
Laboratory LocationWalgreens #103682261 W Esplanade Ave, San Jacinto, CA 92582
CLIA data matches this NPI record on: Address Name Phone
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 Walgreens #10368 carries, from the Medicare DMEPOS supplier directory.

Walgreens #10368

DMEPOS supplier · San Jacinto, CAOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #10368 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)20374745
Medicare Participant SinceMarch 1, 2022
Supplier Location2261 W Esplanade AveSan Jacinto, CA 92582
Phone(951) 487-2383
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.

KRYSANN DAO
Pharmacist
2261 W ESPLANADE AVE
SAN JACINTO, CA 92582
Riverside County (951) 487-2383
WALGREEN CO
Pharmacy
2261 W ESPLANADE AVE
SAN JACINTO, CA 92582
Riverside County (951) 487-2383
DR. OLUWAFOLAKE OMOTOSHO PHARMD
Pharmacist
2261 W ESPLANADE AVE
SAN JACINTO, CA 92582
Riverside County (951) 487-2383

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 Walgreens's NPI number?

The NPI number for Walgreens is 1336416916. It was assigned to this organization in the NPPES registry on November 26, 2011.

Where is Walgreens located?

Walgreens is located at 2261 W Esplanade Ave, San Jacinto, CA 92582. The listed phone number is (951) 487-2383.

What is Walgreens's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Does Walgreens accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #10368 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreens hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2258584) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walgreens was last updated on November 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.