WALGREENS PHARMACY - NPI 1407302383

Q: What is Walgreens Pharmacy's NPI number?

The NPI number for Walgreens Pharmacy is 1407302383. It was assigned to this organization in the NPPES registry on August 30, 2016.

Q: What is Walgreens Pharmacy's specialty?

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

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About Walgreens Pharmacy NPPES

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

WALGREENS PHARMACY (NPI 1407302383) is a healthcare organization registered as a community/retail pharmacy in Dunn, North Carolina and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Jordan Clark Squires, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1407302383

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWALGREENS PHARMACY

Location Address1501 W CUMBERLAND STDunn, NC 28334

Mailing Address1501 W Cumberland StDunn, NC 28334-4505 · (910) 891-1930 · Fax (910) 891-1936

Phone(910) 891-1930

Fax(910) 891-1936

Organization SubpartNo

Authorized OfficialJordan Clark SquiresPharmacist · (910) 891-1930

Enumeration DateAugust 30, 2016

✔ NPI 1407302383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in NC · 26185

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.

1501 W CUMBERLAND ST, Dunn, NC 28334

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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 34D2031186

Walgreens #12895 · Dunn, NC

Active · expires Oct 13, 2027

CLIA Number34D2031186

Laboratory TypePharmacy

Certificate Effective DateOctober 14, 2025

Certificate Expiration DateOctober 13, 2027

Laboratory DirectorCharles B. Woods

Laboratory Phone(910) 891-1930

Laboratory LocationWalgreens #128951501 W Cumberland St, Dunn, NC 28334

CLIA data matches this NPI record on: Address 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 #12895 carries, from the Medicare DMEPOS supplier directory.

Walgreens #12895

DMEPOS supplier · Dunn, NCOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #12895 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)20384165

Medicare Participant SinceMarch 1, 2022

Supplier Location1501 W Cumberland StDunn, NC 28334

Phone(910) 891-1930

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 8

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

KELLYSYANA BERTS

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)