WALGREENS #09018
NPI 1396952032
Pharmacy in Hialeah, FL

Active since May 16, 2007CLIA 10D2013699 · Waiver
1155 W 68TH ST, HIALEAH, FL 33014(305) 362-0978 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 19, 2024, Jun 9, 2022, May 8, 2018 and 1 more (4 updates tracked since 2015).

About Walgreens #09018 NPPES

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

WALGREENS #09018 (NPI 1396952032) is a healthcare organization registered as a pharmacy in Hialeah, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Virginia Garza, Manager, as its authorized official.

NPPES Registry Identity

NPI1396952032
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1155 W 68TH STHialeah, FL 33014-5152
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2364 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialVirginia GarzaManager · (217) 709-2364
Enumeration DateMay 16, 2007
Last NPPES UpdateJune 19, 20244 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
NPI 1396952032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in FL · PH22794
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
1155 W 68TH ST, Hialeah, FL 33014

Other Names 1

Doing Business AsWalgreens #09018

Other Identifiers 3

Medicaid032115000FL
Medicaid032115001 DMEFL
Other1025976Ncpdp

Accepted Insurance

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 10D2013699

Walgreen Co · Hialeah, FL
Active · expires Aug 11, 2027
CLIA Number10D2013699
Laboratory TypePharmacy
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorPullaiah Kodumuru
Laboratory Phone(305) 362-0978
Laboratory LocationWalgreen Co1155 W 68th St Walgreens #09018, Hialeah, FL 33014
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services19 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20355743
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Other Providers at the Same Location NPPES 8

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

Pharmacist
1155 W 68TH ST
HIALEAH, FL 33014
Pharmacist
1155 W 68TH ST
HIALEAH, FL 33014
Pharmacist
1155 W 68TH ST
HIALEAH, FL 33014
Pharmacist
1155 W 68TH ST
HIALEAH, FL 33014
Pharmacist
1155 W 68TH ST
HIALEAH, FL 33014
Pharmacist
1155 W 68TH ST
HIALEAH, FL 33014
Pharmacist
1155 W 68TH ST
HIALEAH, FL 33014
Pharmacist
1155 W 68TH ST
HIALEAH, FL 33014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396952032, enumerated as an "organization" on May 16, 2007.

The provider is located at 1155 W 68TH ST HIALEAH, FL 33014 and the phone number is (305) 362-0978.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.