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WALGREENS PHARMACY
NPI 1376825315
Pharmacy - Community/Retail Pharmacy in Port St Lucie, FL

Active since September 15, 2011CLIA 10D2011971 · Waiver
1025 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952(772) 335-4200 Get Directions Write a Review

NPPES record last updated: July 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walgreens Pharmacy NPPES

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

WALGREENS PHARMACY (NPI 1376825315) is a healthcare organization registered as a community/retail pharmacy in Port St Lucie, Florida and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through September 18, 2027 and lists Ulecia D Boldin, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1376825315
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREENS PHARMACY
Location Address1025 SE PORT ST LUCIE BLVDPort St Lucie, FL 34952-5386
Mailing Address1025 Se Port St Lucie BlvdPort St Lucie, FL 34952-5386 · (772) 335-4200
Phone(772) 335-4200
Organization SubpartNo
Authorized OfficialUlecia D BoldinPharmacist · (772) 335-4200
Enumeration DateSeptember 15, 2011
Last NPPES UpdateJuly 28, 2012
✔ NPI 1376825315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PS48022
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.
1025 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34952
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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 10D2011971

Walgreen Co · Port Saint Lucie, FL
Active · expires Sep 18, 2027
CLIA Number10D2011971
Laboratory TypePharmacy
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorNicole R. Curry
Laboratory Phone(772) 335-4200
Laboratory LocationWalgreen Co1025 SE Port St Lucie Blvd, Port Saint Lucie, FL 34952
CLIA data matches this NPI record on: 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 #5465 carries, from the Medicare DMEPOS supplier directory.

Walgreens #5465

DMEPOS supplier · Port Saint Lucie, FLOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #5465 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)20357861
Medicare Participant SinceMarch 1, 2022
Supplier Location1025 SE Port Saint Lucie BlvdPort Saint Lucie, FL 34952
Phone(772) 335-4200
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 10

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

MR. GARY M BLACKMON R.PH.
Pharmacist
1025 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-4200
THOMAS LUKAT PHARM D
Pharmacist
1025 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-4200
KYRA JACOBI DOBARD PHARMD
Pharmacist
1025 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-4200
NICOLE ROSA CURRY PHARMD
Pharmacist
1025 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-4200
DR. JENNIFER LYNN POLAK
Pharmacist
1025 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 335-4200
DR. CHRISTINA MARIE CEPEDA PHARMD
Pharmacist
1025 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-4200
NAILIA RIVAS MORENO
Pharmacist
1025 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-4200
JANET M DUVAL
Pharmacy Technician
1025 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-4200

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 Pharmacy's NPI number?

The NPI number for Walgreens Pharmacy is 1376825315. It was assigned to this organization in the NPPES registry on September 15, 2011.

Where is Walgreens Pharmacy located?

Walgreens Pharmacy is located at 1025 SE Port St Lucie Blvd, Port St Lucie, FL 34952. The listed phone number is (772) 335-4200.

What is Walgreens Pharmacy's specialty?

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

Does Walgreens Pharmacy accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #5465 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreens Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2011971) is associated with this NPI, valid through September 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 Walgreens Pharmacy was last updated on July 28, 2012. 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.