WALGREENS
NPI 1588048672
Pharmacy - Community/Retail Pharmacy in Portage, MI

Q: What is Walgreens's NPI number?

The NPI number for Walgreens is 1588048672. It was assigned to this organization in the NPPES registry on July 17, 2015.

Q: What is Walgreens's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Walgreens was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 17, 2015CLIA 23D2054539 · Waiver

5933 S WESTNEDGE AVE, PORTAGE, MI 49002(269) 381-4862 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Walgreens NPPES

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

WALGREENS (NPI 1588048672) is a healthcare organization registered as a community/retail pharmacy in Portage, Michigan and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through March 29, 2027 and lists Robert Ersberger, District Manager, as its authorized official.

NPPES Registry Identity

NPI1588048672

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWALGREENS

Location Address5933 S WESTNEDGE AVEPortage, MI 49002-1455

Mailing Address5933 S Westnedge AvePortage, MI 49002-1455 · (269) 381-4862

Phone(269) 381-4862

Organization SubpartNo

Authorized OfficialRobert ErsbergerDistrict Manager · (269) 271-7365

Enumeration DateJuly 17, 2015

✔ NPI 1588048672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MI · 5302042983

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

5933 S WESTNEDGE AVE, Portage, MI 49002

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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 23D2054539

Walgreens #10081 · Portage, MI

Active · expires Mar 29, 2027

CLIA Number23D2054539

Laboratory TypePharmacy

Certificate Effective DateMarch 30, 2025

Certificate Expiration DateMarch 29, 2027

Laboratory DirectorSelena Bowen

Laboratory Phone(269) 381-4862

Laboratory LocationWalgreens #100815933 S Westnedge Avenue, Portage, MI 49002

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 8

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

DR. SABBIR MIAH RPH

Pharmacist