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WALGREENS #03577
NPI 1386659506
Pharmacy in Deltona, FL

Active since July 29, 2006
1925 PROVIDENCE BLVD, DELTONA, FL 32725(386) 789-6096 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, Mar 10, 2022, May 4, 2018 (3 updates tracked since 2018).

About Walgreens #03577 NPPES

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

WALGREENS #03577 (NPI 1386659506) is a healthcare organization registered as a pharmacy in Deltona, Florida and active in the NPI registry since July 2006. The organization lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1386659506
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1925 PROVIDENCE BLVDDeltona, FL 32725-3945
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(386) 789-6096
Organization SubpartYesParent: Walgreens Boots Alliance Inc.
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 29, 2006
Last NPPES UpdateOctober 30, 20233 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1386659506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PH0013934
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
1925 PROVIDENCE BLVD, Deltona, FL 32725
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Other Names 1

Doing Business AsWalgreens #03577

Other Identifiers 3

Other1077583Other Id Number-commercial Number
Medicaid103563100FL
Medicaid103563101 DMEFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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.

JESSICA CLAIRE MALKI MD
Internal Medicine
1925 PROVIDENCE BLVD
DELTONA, FL 32725
Volusia County (386) 774-7262
FLORIDA HEALTH CARE PLAN INC
Pharmacy (Managed Care Organization Pharmacy)
1925 PROVIDENCE BLVD
DELTONA, FL 32725
Volusia County (386) 615-5008
MS. CAROL GAMBESKI RPH
Pharmacist
1925 PROVIDENCE BLVD
DELTONA, FL 32725
Volusia County (386) 789-6096

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 1386659506. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #03577.

Where is Walgreen Co located?

Walgreen Co is located at 1925 Providence Blvd, Deltona, FL 32725. The listed phone number is (386) 789-6096.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Walgreen Co accept?

Health plans from Moda Health Plan, Inc. 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.