WALGREEN CO.
NPI 1366297145
Pharmacy in Takoma Park, MD

Active since April 23, 2024CLIA 21D2061420 · Waiver
1329 UNIVERSITY BLVD E, TAKOMA PARK, MD 20912(301) 445-8159 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Walgreen Co. NPPES

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

WALGREEN CO. (NPI 1366297145), doing business as Walgreens #11140, is a healthcare organization registered as a pharmacy in Takoma Park, Maryland and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Virginia Garza, Director - Ar Central, as its authorized official.

NPPES Registry Identity

NPI1366297145
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address1329 UNIVERSITY BLVD ETakoma Park, MD 20912-7445
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2364 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialVirginia GarzaDirector - Ar Central · (217) 709-2364
Enumeration DateApril 23, 2024
NPPES CertifiedApril 23, 2024
NPI 1366297145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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
1329 UNIVERSITY BLVD E, Takoma Park, MD 20912

Other Names 1

Doing Business AsWalgreens #11140

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 21D2061420

Walgreens #11140 · Takoma Park, MD
Active · expires Oct 30, 2027
CLIA Number21D2061420
Laboratory TypePharmacy
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorBezawit Ayenachew
Laboratory Phone(301) 445-8159
Laboratory LocationWalgreens #111401329 University Blvd, E, Takoma Park, MD 20912
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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
1329 UNIVERSITY BLVD E
TAKOMA PARK, MD 20912
Pharmacist
1329 UNIVERSITY BLVD E
TAKOMA PARK, MD 20912
Pharmacist
1329 UNIVERSITY BLVD E
TAKOMA PARK, MD 20912
Pharmacist
1329 UNIVERSITY BLVD E
TAKOMA PARK, MD 20912
Pharmacist
1329 UNIVERSITY BLVD E
TAKOMA PARK, MD 20912
Pharmacist
1329 UNIVERSITY BLVD E
TAKOMA PARK, MD 20912
Pharmacist
1329 UNIVERSITY BLVD E
TAKOMA PARK, MD 20912
Pharmacist
1329 UNIVERSITY BLVD E
TAKOMA PARK, MD 20912

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366297145, enumerated as an "organization" on April 23, 2024.

The provider is located at 1329 UNIVERSITY BLVD E TAKOMA PARK, MD 20912 and the phone number is (301) 445-8159.

Pharmacy with taxonomy code 333600000X.