1. Home
  2. Directory
  3. Florida
  4. Ft Lauderdale
  5. Pharmacy
  6. NPI Profile

WALGREEN CO
NPI 1417962762
Pharmacy in Ft Lauderdale, FL

Active since July 29, 2006
340 SW 24TH ST, FT LAUDERDALE, FL 33315(954) 764-1584 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 13, 2022, May 7, 2018, Nov 13, 2015 (3 updates tracked since 2015).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1417962762), doing business as Walgreens #04768, is a healthcare organization registered as a pharmacy in Ft Lauderdale, Florida and active in the NPI registry since July 2006. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1417962762
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address340 SW 24TH STFt Lauderdale, FL 33315-2547
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Phone(954) 764-1584
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJuly 29, 2006
Last NPPES UpdateOctober 22, 20253 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1417962762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PH0000303
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
340 SW 24TH ST, Ft Lauderdale, FL 33315
Open in Google Maps ↗

Other Names 1

Doing Business AsWalgreens #04768

Other Identifiers 3

Other1000227Other Id Number-commercial Number
Medicaid103033700FL
Medicaid103033701 DMEFL

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 ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreen Store #4768 carries, from the Medicare DMEPOS supplier directory.

Walgreen Store #4768

DMEPOS supplier · Fort Lauderdale, FLOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreen Store #4768 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)20350883
Medicare Participant SinceMarch 1, 2022
Supplier Location340 SW 24th StFort Lauderdale, FL 33315
Phone(954) 764-1584
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 3

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

DR. BRIAN WILLIAM THAW PHARM D. , RPH
Pharmacist
340 SW 24TH ST
FT LAUDERDALE, FL 33315
Broward County (954) 764-1584
THOMAS D GRANDSTAFF
Pharmacist
340 SW 24TH ST
FT LAUDERDALE, FL 33315
Broward County (954) 764-1584
DR. ANGELA MARIE HERNANDEZ PHARMD
Pharmacist
340 SW 24TH ST
FORT LAUDERDALE, FL 33315
Broward County (954) 764-1584

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 Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1417962762. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #04768.

Where is Walgreen Co located?

Walgreen Co is located at 340 SW 24th St, Ft Lauderdale, FL 33315. The listed phone number is (954) 764-1584.

What is Walgreen Co's specialty?

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

Does Walgreen Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreen Store #4768 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Walgreen Co accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 40 other insurers list Walgreen Co as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.