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WALGREEN'S
NPI 1366816845
Pharmacy - Community/Retail Pharmacy in Rio Rancho, NM

Active since November 19, 2015CLIA 32D2011775 · Waiver
4051 SOUTHERN BLVD SE, RIO RANCHO, NM 87124(505) 892-6690 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walgreen's NPPES

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

WALGREEN'S (NPI 1366816845) is a healthcare organization registered as a community/retail pharmacy in Rio Rancho, New Mexico and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Michael Konkol, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1366816845
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREEN'S
Location Address4051 SOUTHERN BLVD SERio Rancho, NM 87124-2069
Mailing Address4051 Southern Blvd SeRio Rancho, NM 87124-2069 · (505) 892-6690
Phone(505) 892-6690
Organization SubpartNo
Authorized OfficialMichael KonkolPharmacist · (510) 427-1673
Enumeration DateNovember 19, 2015
✔ NPI 1366816845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NM · RP00008469
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
4051 SOUTHERN BLVD SE, Rio Rancho, NM 87124
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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 32D2011775

Walgreens #05158 · Rio Rancho, NM
Active · expires May 18, 2027
CLIA Number32D2011775
Laboratory TypePharmacy
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorJeff Bettner
Laboratory Phone(505) 892-6690
Laboratory LocationWalgreens #051584051 Southern Blvd SE, Rio Rancho, NM 87124
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

DNAE HEYBORNE
Pharmacist
4051 SOUTHERN BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 892-6690
MRS. KARLA FRANKS PHD
Pharmacist
4051 SOUTHERN BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 892-6690
DR. MARIA ANGELIKA HILARIO ISIDRO PHARMD, MBA
Pharmacist
4051 SOUTHERN BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 892-6690
TATIANA KARINA PLEIL-PINO PHARMD
Pharmacist
4051 SOUTHERN BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 892-6690
MIRNA A LEANOS
Pharmacist
4051 SOUTHERN BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 892-6690
MRS. NICOLE MARIE DUPLESSIE PHARM D
Pharmacist
4051 SOUTHERN BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 892-6690
LISA MARIE ESPINOZA PHARM. D
Pharmacist
4051 SOUTHERN BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 892-6690
GABRIEL GOMEZ PHARM-D
Pharmacist
4051 SOUTHERN BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 892-6690

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's's NPI number?

The NPI number for Walgreen's is 1366816845. It was assigned to this organization in the NPPES registry on November 19, 2015.

Where is Walgreen's located?

Walgreen's is located at 4051 Southern Blvd SE, Rio Rancho, NM 87124. The listed phone number is (505) 892-6690.

What is Walgreen's's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walgreen's hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2011775) is associated with this NPI, valid through May 18, 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's was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.