WALGREENS
NPI 1417227653
Pharmacist in Melbourne, FL

Active since January 05, 2012CLIA 10D2012365 · Waiver
1350 N WICKHAM RD, MELBOURNE, FL 32935(321) 254-5507 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walgreens NPPES

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

WALGREENS (NPI 1417227653) is a healthcare organization registered as a pharmacist in Melbourne, Florida and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists John P Abramo, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1417227653
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameWALGREENS
Location Address1350 N WICKHAM RDMelbourne, FL 32935-8945
Mailing Address1350 N Wickham RdMelbourne, FL 32935-8945
Organization SubpartNo
Authorized OfficialJohn P AbramoPharmacist · (321) 254-5507
Enumeration DateJanuary 5, 2012
NPI 1417227653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · 26630
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1350 N WICKHAM RD, Melbourne, FL 32935

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 10D2012365

Walgreen Co · Melbourne, FL
Active · expires Sep 19, 2027
CLIA Number10D2012365
Laboratory TypePharmacy
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorAlicai K. Fortenberry
Laboratory Phone(321) 254-5507
Laboratory LocationWalgreen Co1350 N Wickham Rd, Melbourne, FL 32935
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Pharmacist
1350 N WICKHAM RD
MELBOURNE, FL 32935
Pharmacist
1350 N WICKHAM RD
MELBOURNE, FL 32935
Pharmacy
1350 N WICKHAM RD
MELBOURNE, FL 32935
Pharmacist
1350 N WICKHAM RD
MELBOURNE, FL 32935
Pharmacy
1350 N WICKHAM RD
MELBOURNE, FL 32935
Pharmacist
1350 N WICKHAM RD
MELBOURNE, FL 32935
Pharmacist
1350 N WICKHAM RD
MELBOURNE, FL 32935
Pharmacist
1350 N WICKHAM RD
MELBOURNE, FL 32935

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 1417227653. It was assigned to this organization in the NPPES registry on January 5, 2012.

Where is Walgreens located?

Walgreens is located at 1350 N Wickham Rd, Melbourne, FL 32935. The listed phone number is (321) 254-5507.

What is Walgreens's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Does Walgreens hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2012365) is associated with this NPI, valid through September 19, 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 January 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.