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WALGREENS #04736
NPI 1497762470
Pharmacy in Jacksonville, FL

Active since August 02, 2006CLIA 10D2225589 · Waiver
7546 103RD ST, JACKSONVILLE, FL 32210(904) 777-3050 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

About Walgreens #04736 NPPES

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

WALGREENS #04736 (NPI 1497762470) is a healthcare organization registered as a pharmacy in Jacksonville, Florida and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 20, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1497762470
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address7546 103RD STJacksonville, FL 32210-6713
Mailing Address1901 E Voorhees St, Mailstop #790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(904) 777-3050
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateAugust 2, 2006
Last NPPES UpdateApril 13, 20223 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
✔ NPI 1497762470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PH0008815
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
7546 103RD ST, Jacksonville, FL 32210
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Other Names 1

Doing Business AsWalgreens #04736

Other Identifiers 3

Medicaid101436600FL
Other1051096Other Id Number-commercial Number
Medicaid101436601 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 ›

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 10D2225589

Walgreen Co · Jacksonville, FL
Active · expires May 20, 2027
CLIA Number10D2225589
Laboratory TypePharmacy
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorThi A. Pham
Laboratory Phone(904) 777-3050
Laboratory LocationWalgreen Co7546 103rd St, Jacksonville, FL 32210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #4736 carries, from the Medicare DMEPOS supplier directory.

Walgreens #4736

DMEPOS supplier · Jacksonville, FLOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #4736 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)20362181
Medicare Participant SinceMarch 1, 2022
Supplier Location7546 103rd StJacksonville, FL 32210
Phone(904) 777-3050
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 5

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

ANDREA PEDRO
Pharmacist
7546 103RD ST
JACKSONVILLE, FL 32210
Duval County (904) 777-3050
LAN THUY-PHAN NGUYEN PHARMD
Pharmacist
7546 103RD ST
JACKSONVILLE, FL 32210
Duval County (904) 777-3050
DR. RYAN EDWARD FORD PHARM.D.
Pharmacist
7546 103RD ST
JACKSONVILLE, FL 32210
Duval County (904) 777-3050
MISS TERRICA DIANE WALLACE PHARMD.
Pharmacist
7546 103RD ST
JACKSONVILLE, FL 32210
Duval County (904) 777-3050
DR. CROMARTIE NICKERSON PHARMD
Pharmacist
7546 103RD ST
JACKSONVILLE, FL 32210
Duval County (904) 777-3050

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 1497762470. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Walgreens #04736.

Where is Walgreen Co located?

Walgreen Co is located at 7546 103rd St, Jacksonville, FL 32210. The listed phone number is (904) 777-3050.

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, Walgreens #4736 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 10D2225589) is associated with this NPI, valid through May 20, 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 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 April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.