1. Home
  2. Directory
  3. Florida
  4. Lakeland
  5. Point Of Service
  6. NPI Profile

WALGREENS
NPI 1457633570
Point of Service in Lakeland, FL

Active since September 14, 2011CLIA 10D2243368 · Waiver
6710 OLD POLK CITY RD, LAKELAND, FL 33809(863) 815-3373(863) 815-5303 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walgreens NPPES

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

WALGREENS (NPI 1457633570) is a healthcare organization registered as a point of service in Lakeland, Florida and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through November 17, 2027 and lists Joseph Humphrey, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1457633570
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameWALGREENS
Location Address6710 OLD POLK CITY RDLakeland, FL 33809
Mailing Address3475 Lismore DriveLakeland, FL 33803 · (863) 815-3373 · Fax (863) 815-5303
Phone(863) 815-3373
Fax(863) 815-5303
Organization SubpartYes
Authorized OfficialJoseph HumphreyPharmacist · (863) 815-3373
Enumeration DateSeptember 14, 2011
✔ NPI 1457633570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in FL · PS34554
Definition
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.
6710 OLD POLK CITY RD, Lakeland, FL 33809
Open in Google Maps ↗

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 10D2243368

Walgreen Co · Lakeland, FL
Active · expires Nov 17, 2027
CLIA Number10D2243368
Laboratory TypePharmacy
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorNicole E. Odom
Laboratory Phone(863) 815-3373
Laboratory LocationWalgreen Co410 Old Polk City Rd, Lakeland, FL 33809
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

EDWARD QUARY PHARM.D
Pharmacist
6710 OLD POLK CITY RD
LAKELAND, FL 33809
Polk County (863) 815-3373
JOSEPH D HUMPHREY
Pharmacist
6710 OLD POLK CITY RD
LAKELAND, FL 33809
Polk County (863) 813-3373

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 1457633570. It was assigned to this organization in the NPPES registry on September 14, 2011.

Where is Walgreens located?

Walgreens is located at 6710 Old Polk City Rd, Lakeland, FL 33809. The listed phone number is (863) 815-3373.

What is Walgreens's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Does Walgreens hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2243368) is associated with this NPI, valid through November 17, 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 September 14, 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.