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WALGREENS #11055
NPI 1366461444
Pharmacy in Middletown, DE

Active since July 19, 2006CLIA Certified · 2 labs
4465 SUMMIT BRIDGE RD, MIDDLETOWN, DE 19709(302) 376-1600(302) 378-9487 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2023, Nov 12, 2018 (2 updates tracked since 2018).

About Walgreens #11055 NPPES

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

WALGREENS #11055 (NPI 1366461444) is a healthcare organization registered as a pharmacy in Middletown, Delaware and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1366461444
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO.
Location Address4465 SUMMIT BRIDGE RDMiddletown, DE 19709-9549
Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(302) 376-1600
Fax(302) 378-9487
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 19, 2006
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1366461444 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 · License A3-0000832 (DE)
4465 SUMMIT BRIDGE RD, Middletown, DE 19709
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Other Names 1

Doing Business AsWalgreens #11055

Other Identifiers 2

Medicaid0001120907DE
Other0803898Ncpdp

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 2

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 08D2038537

Walgreens #11055 · Middletown, DE
Active · expires Aug 31, 2027
CLIA Number08D2038537
Laboratory TypePharmacy
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorMr. Christine M. Tolino
Laboratory Phone(302) 376-1600
Laboratory LocationWalgreens #110554465 Summit Bridge Road, Middletown, DE 19709
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 08D2038543

Walgreens #12462 · Middletown, DE
Active · expires Aug 31, 2027
CLIA Number08D2038543
Laboratory TypePharmacy
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorMr. Amy V. Kernick
Laboratory Phone(302) 378-9512
Laboratory LocationWalgreens #12462700 S Ridge Avenue, Middletown, DE 19709
CLIA data matches this NPI record on: 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 Walgreens #11055 carries, from the Medicare DMEPOS supplier directory.

Walgreens #11055

DMEPOS supplier · Middletown, DEOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #11055 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)20383793
Medicare Participant SinceMarch 1, 2022
Supplier Location4465 Summit Bridge RdMiddletown, DE 19709
Phone(302) 376-1600
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

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

KAREN A STEVENSON RPH
Pharmacist
4465 SUMMIT BRIDGE RD
MIDDLETOWN, DE 19709
New Castle County (302) 376-1600

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 1366461444. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is doing business as Walgreens #11055.

Where is Walgreen Co. located?

Walgreen Co. is located at 4465 Summit Bridge Rd, Middletown, DE 19709. The listed phone number is (302) 376-1600.

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 #11055 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 39 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 October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.