1. Home
  2. Directory
  3. Texas
  4. Westworth Village
  5. Pharmacist
  6. NPI Profile

WALGREENS
NPI 1558611897
Pharmacist in Westworth Village, TX

Active since September 13, 2012CLIA 45D2022620 · Waiver
5716 ATON AVE, WESTWORTH VILLAGE, TX 76114(614) 584-6965 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walgreens NPPES

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

WALGREENS (NPI 1558611897) is a healthcare organization registered as a pharmacist in Westworth Village, Texas and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Ada Vandyke, Staff Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1558611897
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameWALGREENS
Location Address5716 ATON AVEWestworth Village, TX 76114
Mailing Address3809 E BelknapFort Worth, TX 76111 · (817) 834-7283
Phone(614) 584-6965
Organization SubpartNo
Authorized OfficialAda VandykeStaff Pharmacist · (614) 584-6965
Enumeration DateSeptember 13, 2012
✔ NPI 1558611897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in TX · 52182
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.
5716 ATON AVE, Westworth Village, TX 76114
Open in Google Maps ↗

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 45D2022620

Walgreens #04268 · Fort Worth, TX
Active · expires Oct 19, 2027
CLIA Number45D2022620
Laboratory TypePharmacy
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorSusan Pham
Laboratory Phone(817) 834-7283
Laboratory LocationWalgreens #042683809 E Belknap Street, Fort Worth, TX 76111
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #4268 carries, from the Medicare DMEPOS supplier directory.

Walgreens #4268

DMEPOS supplier · Fort Worth, TXOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #4268 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)20390651
Medicare Participant SinceMarch 1, 2022
Supplier Location3809 E Belknap StFort Worth, TX 76111
Phone(817) 834-7283
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.

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 1558611897. It was assigned to this organization in the NPPES registry on September 13, 2012.

Where is Walgreens located?

Walgreens is located at 5716 Aton Ave, Westworth Village, TX 76114. The listed phone number is (614) 584-6965.

What is Walgreens's specialty?

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

Does Walgreens accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #4268 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreens hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2022620) is associated with this NPI, valid through October 19, 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 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.