WALGREENS #04917 - NPI 1437164688 - Pharmacy in Miami Gardens, FL

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1437164688. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #04917.

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 April 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Walgreens #04917 NPPES

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

WALGREENS #04917 (NPI 1437164688) is a healthcare organization registered as a pharmacy in Miami Gardens, Florida and active in the NPI registry since July 2006. The organization lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1437164688

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address690 NW 183RD STMiami Gardens, FL 33169-4470

Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(305) 249-6792

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira L TaylorManager · (217) 709-2351

Enumeration DateJuly 29, 2006

Last NPPES UpdateApril 21, 20224 updates tracked since enumeration

NPPES CertifiedApril 21, 2022

✔ NPI 1437164688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in FL · PH0017168

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

690 NW 183RD ST, Miami Gardens, FL 33169

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Other Names 1

Doing Business AsWalgreens #04917

Other Identifiers 3

Medicaid022098100FL

Medicaid022098101 DMEFL

Other1088233Other Id Number-commercial Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 5

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

HAMIDAH SALIM RPH

Pharmacist