1. Home
  2. Directory
  3. Florida
  4. Tampa
  5. Pharmacy
  6. NPI Profile

WALGREENS
NPI 1386984979
Pharmacy in Tampa, FL

Active since February 19, 2013CLIA 10D2013151 · Waiver
4651 W KENNEDY BLVD, TAMPA, FL 33609(813) 286-1366 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walgreens NPPES

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

WALGREENS (NPI 1386984979) is a healthcare organization registered as a pharmacy in Tampa, Florida and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Nadezhda Dallier, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1386984979
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREENS
Location Address4651 W KENNEDY BLVDTampa, FL 33609-2519
Mailing Address4651 W Kennedy BlvdTampa, FL 33609-2519 · (813) 286-1366
Phone(813) 286-1366
Organization SubpartNo
Authorized OfficialNadezhda DallierPharmacist · (813) 873-1735
Enumeration DateFebruary 19, 2013
✔ NPI 1386984979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PS49867
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.
4651 W KENNEDY BLVD, Tampa, FL 33609
Open in Google Maps ↗

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 10D2013151

Walgreen Co · Tampa, FL
Active · expires Apr 22, 2027
CLIA Number10D2013151
Laboratory TypePharmacy
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorJames P. Whitt
Laboratory Phone(813) 286-1366
Laboratory LocationWalgreen Co4651 W Kennedy Blvd, Tampa, FL 33609
CLIA data matches this NPI record on: Address 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 #3743 carries, from the Medicare DMEPOS supplier directory.

Walgreens #3743

DMEPOS supplier · Tampa, FLOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #3743 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)20352947
Medicare Participant SinceMarch 1, 2022
Supplier Location4651 W Kennedy BlvdTampa, FL 33609
Phone(813) 286-1366
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 4

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

CHANTAL MORENCY RPH
Pharmacist
4651 W KENNEDY BLVD
TAMPA, FL 33609
Hillsborough County (813) 286-1366
MS. MAYADAH ABED
Pharmacist
4651 W KENNEDY BLVD
TAMPA, FL 33609
Hillsborough County (813) 286-1366
WALGREEN CO
Pharmacy
4651 W KENNEDY BLVD
TAMPA, FL 33609
Hillsborough County (813) 286-1366
MRS. ERIN LEIGH JONES PHARMD
Pharmacist
4651 W KENNEDY BLVD
TAMPA, FL 33609
Hillsborough County (813) 286-1366

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's NPI number?

The NPI number for Walgreens is 1386984979. It was assigned to this organization in the NPPES registry on February 19, 2013.

Where is Walgreens located?

Walgreens is located at 4651 W Kennedy Blvd, Tampa, FL 33609. The listed phone number is (813) 286-1366.

What is Walgreens's specialty?

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

Does Walgreens accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #3743 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreens hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2013151) is associated with this NPI, valid through April 22, 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 was last updated on February 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.