WALGREENS #03883
NPI 1487669388
Pharmacy in Waukesha, WI
About Walgreens #03883 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALGREENS #03883 (NPI 1487669388) is a healthcare organization registered as a pharmacy in Waukesha, Wisconsin and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Virginia Garza, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Walgreens #03883 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
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 52D2011784
Walgreens #03883 · Waukesha, WIAreas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medical Equipment Supplier Medicare DMEPOS 7
Medicare supplier enrollment and the product categories Walgreens #3883 carries, from the Medicare DMEPOS supplier directory.
Walgreens #3883
DMEPOS supplier · Waukesha, WIOperated by Walgreen CoAccepts Medicare assignment
Walgreens #3883 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.
Medicare Product Categories
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.
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 1487669388. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #03883.
Where is Walgreen Co located?
Walgreen Co is located at 221 E Sunset Dr, Waukesha, WI 53189. The listed phone number is (262) 542-3981.
What is Walgreen Co's specialty?
The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.
Is Walgreen Co enrolled in Medicare?
Yes. Walgreen Co is registered in the Medicare PECOS enrollment system.
When is Walgreen Co's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Wisconsin, Independent Clinical Laboratory) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does Walgreen Co accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Walgreens #3883 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
Does Walgreen Co hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2011784) is associated with this NPI, valid through October 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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 41 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 June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Walgreens #03883 · NPI 1487669388
Pharmacy organization in Waukesha, Wisconsin. Organization record, active in the CMS NPPES registry since July 29, 2006.
## Identity
- **NPI:** 1487669388 (Entity type: Organization)
- **Enumerated:** July 29, 2006
- **Primary specialty:** Pharmacy · taxonomy 333600000X
- **Legal business name:** Walgreen Co
- **Organization subpart:** Yes (part of Walgreens Boots Alliance Inc)
- **Authorized official:** Virginia Garza, MANAGER
## Practice location
- **Address:** 221 E SUNSET DR, Waukesha, WI 53189-7603
- **Phone:** (262) 542-3981
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Wisconsin, Independent Clinical Laboratory) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** June 14, 2024
- **Other identifiers:** Other 5114513; Medicaid 33018300 (WI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487669388) · Data from the CMS NPPES public registry.