WALGREENS PHARMACY
NPI 1417238452
Pharmacy - Community/Retail Pharmacy in Riverview, MI

Active since September 05, 2011CLIA 23D2011293 · Waiver
17071 FORT ST, RIVERVIEW, MI 48193(734) 281-2927(734) 281-4979 Get Directions Write a Review

NPPES record last updated: September 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walgreens Pharmacy NPPES

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

WALGREENS PHARMACY (NPI 1417238452) is a healthcare organization registered as a community/retail pharmacy in Riverview, Michigan and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through April 15, 2027 and lists Mariam Mufeed Hajeir, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1417238452
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREENS PHARMACY
Location Address17071 FORT STRiverview, MI 48193-6656
Mailing Address17071 Fort StRiverview, MI 48193-6656
Fax(734) 281-4979
Organization SubpartNo
Authorized OfficialMariam Mufeed HajeirPharmacist · (734) 281-2927
Enumeration DateSeptember 5, 2011
NPI 1417238452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Licenses Licensed in TN · 0000034535 Licensed in MI · 5302039784 Licensed in OH · 03230902
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.
17071 FORT ST, Riverview, MI 48193

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 23D2011293

Walgreens #04585 · Riverview, MI
Active · expires Apr 15, 2027
CLIA Number23D2011293
Laboratory TypePharmacy
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorJamie J. Bartoloni
Laboratory Phone(734) 281-2927
Laboratory LocationWalgreens #0458517071 Fort St, Riverview, MI 48193
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 #4585 carries, from the Medicare DMEPOS supplier directory.

Walgreens #4585

DMEPOS supplier · Riverview, MIOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #4585 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)20399003
Medicare Participant SinceMarch 1, 2022
Supplier Location17071 Fort StRiverview, MI 48193
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.

Pharmacist
17071 FORT ST
RIVERVIEW, MI 48193
Pharmacist
17071 FORT ST
RIVERVIEW, MI 48193
Pharmacy
17071 FORT ST
RIVERVIEW, MI 48193
Pharmacist
17071 FORT ST
RIVERVIEW, MI 48193
Pharmacist
17071 FORT ST
RIVERVIEW, MI 48193
Pharmacist
17071 FORT ST
RIVERVIEW, MI 48193
Pharmacist
17071 FORT ST
RIVERVIEW, MI 48193
Pharmacist
17071 FORT ST
RIVERVIEW, MI 48193

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 Pharmacy's NPI number?

The NPI number for Walgreens Pharmacy is 1417238452. It was assigned to this organization in the NPPES registry on September 5, 2011.

Where is Walgreens Pharmacy located?

Walgreens Pharmacy is located at 17071 Fort St, Riverview, MI 48193. The listed phone number is (734) 281-2927.

What is Walgreens Pharmacy's specialty?

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

Does Walgreens Pharmacy accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #4585 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreens Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2011293) is associated with this NPI, valid through April 15, 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 Pharmacy was last updated on September 5, 2011. 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.