WALGREEN
NPI 1528482502
Pharmacist in Fort Worth, TX

Active since February 11, 2014CLIA 45D2061507 · Waiver
4350 OAK PARK LN, FORT WORTH, TX 76109(817) 920-0600 Get Directions Write a Review

NPPES record last updated: February 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Walgreen NPPES

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

WALGREEN (NPI 1528482502) is a healthcare organization registered as a pharmacist in Fort Worth, Texas and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Kristen Joi Fisher, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1528482502
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameWALGREEN
Location Address4350 OAK PARK LNFort Worth, TX 76109-1512
Mailing Address4350 Oak Park LnFort Worth, TX 76109-1512
Organization SubpartNo
Authorized OfficialKristen Joi FisherPharmacist · (301) 535-6766
Enumeration DateFebruary 11, 2014
NPI 1528482502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TX · 54405
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

4350 OAK PARK LN, Fort Worth, TX 76109

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 45D2061507

Walgreens #05211 · Fort Worth, TX
Active · expires May 23, 2027
CLIA Number45D2061507
Laboratory TypePharmacy
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorMatthew J. Pataky
Laboratory Phone(817) 920-0600
Laboratory LocationWalgreens #052114350 Oak Park Lane, Fort Worth, TX 76109
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Pharmacist
4350 OAK PARK LN
FORT WORTH, TX 76109
Pharmacist
4350 OAK PARK LN
FORT WORTH, TX 76109
Pharmacist
4350 OAK PARK LN
FORT WORTH, TX 76109
Pharmacist
4350 OAK PARK LN
FORT WORTH, TX 76109
Pharmacist
4350 OAK PARK LN
FORT WORTH, TX 76109
Pharmacist
4350 OAK PARK LN
FORT WORTH, TX 76109
Pharmacist
4350 OAK PARK LN
FORT WORTH, TX 76109
Pharmacist
4350 OAK PARK LN
FORT WORTH, TX 76109

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's NPI number?

The NPI number for Walgreen is 1528482502. It was assigned to this organization in the NPPES registry on February 11, 2014.

Where is Walgreen located?

Walgreen is located at 4350 Oak Park Ln, Fort Worth, TX 76109. The listed phone number is (817) 920-0600.

What is Walgreen's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Does Walgreen hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2061507) is associated with this NPI, valid through May 23, 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 Walgreen was last updated on February 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.