WALGREENS
NPI 1457633570
Point of Service in Lakeland, FL

NPI Status: Active since September 14, 2011

Contact Information

6710 OLD POLK CITY RD
LAKELAND, FL
ZIP 33809
Phone: (863) 815-3373
Fax: (863) 815-5303

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  • Organization
  • Point of Service
  • CLIA Number: 10D2243368
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 11-17-2027

About WALGREENS

This page provides the complete NPI Profile along with additional information for Walgreens, a provider established in Lakeland, Florida operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1457633570 assigned on September 2011. The practitioner's primary taxonomy code is 305S00000X with license number PS34554 (FL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Joseph Humphrey (Pharmacist)

NPI
1457633570
Provider Name
WALGREENS
Entity Type
Organization
Location Address
6710 OLD POLK CITY RD LAKELAND, FL 33809
Location Phone
(863) 815-3373
Location Fax
(863) 815-5303
Mailing Address
3475 LISMORE DRIVE LAKELAND, FL 33803
Mailing Phone
(863) 815-3373
Mailing Fax
(863) 815-5303
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-14-2011
Last Update Date
09-14-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Point of Service

Taxonomy Code
305S00000X
Type
Managed Care Organizations
License No.
PS34554
License State
FL
Taxonomy Description
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOSEPH HUMPHREY

Authorized Official Title
PHARMACIST
Authorized Official Phone
(863) 815-3373

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2243368
Facility Type
Pharmacy
Certificate Effective Date
November 18, 2025
Certificate Expiration Date
November 17, 2027
Laboratory Director
NICOLE E. ODOM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walgreens to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457633570, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 1 + 2 + 3 + 6 + 5 + 1 + 4 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1457633570.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacist
6710 OLD POLK CITY RD
LAKELAND, FL 33809
Pharmacist
6710 OLD POLK CITY RD
LAKELAND, FL 33809

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457633570, enumerated as an "organization" on September 14, 2011.

The provider is located at 6710 OLD POLK CITY RD LAKELAND, FL 33809 and the phone number is (863) 815-3373.

Point of Service with taxonomy code 305S00000X.