WALGREENS #09736
NPI 1407955263
Pharmacy in Pittsburgh, PA

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1407955263. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Walgreens #09736.

Q: What is Walgreen Co's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since September 21, 2006CLIA 39D2294339 · Waiver

4885 MCKNIGHT RD, PITTSBURGH, PA 15237(412) 366-6359(412) 366-6427 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2024, Sep 11, 2024, Nov 3, 2023 and 3 more (6 updates tracked since 2015).

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About Walgreens #09736 NPPES

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

WALGREENS #09736 (NPI 1407955263) is a healthcare organization registered as a pharmacy in Pittsburgh, Pennsylvania and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through November 21, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1407955263

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address4885 MCKNIGHT RDPittsburgh, PA 15237-3400

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344

Phone(412) 366-6359

Fax(412) 366-6427

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialJennifer PonceManager · (847) 527-2489

Enumeration DateSeptember 21, 2006

Last NPPES UpdateSeptember 19, 20246 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2024

✔ NPI 1407955263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in PA · PP481629

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

4885 MCKNIGHT RD, Pittsburgh, PA 15237

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Other Names 1

Doing Business AsWalgreens #09736

Other Identifiers 2

Medicaid07669700099PA

Other3986621Ncdcp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.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 39D2294339

Walgreen #09736 · Pittsburgh, PA

Active · expires Nov 21, 2027

CLIA Number39D2294339

Laboratory TypePharmacy

Certificate Effective DateNovember 22, 2025

Certificate Expiration DateNovember 21, 2027

Laboratory DirectorRenee M. Blough

Laboratory Phone(412) 366-6359

Laboratory LocationWalgreen #097364885 Mcknight Rd, Pittsburgh, PA 15237

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 3

Services this provider delivered to Medicare fee-for-service patients, from the 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.

68 services66 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

41 services41 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

24 services24 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #9736 carries, from the Medicare DMEPOS supplier directory.

Walgreens #9736

DMEPOS supplier · Pittsburgh, PAOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #9736 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)20352275

Medicare Participant SinceMarch 1, 2022

Supplier Location4885 Mcknight RdPittsburgh, PA 15237

Phone(412) 366-6359

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 6

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

MOLLY ANN MARCINIAK PHARMD

Pharmacist