WALGREENS #12724
NPI 1609881713
Pharmacy in Davie, FL

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1609881713. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #12724.

Q: What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on April 5, 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.

Active since July 29, 2006CLIA 10D2071894 · Waiver

1251 S STATE ROAD 7, DAVIE, FL 33317(954) 584-2118(954) 584-7451 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 5, 2022, May 9, 2018, Jan 13, 2016 (3 updates tracked since 2016).

On this page

About Walgreens #12724 NPPES

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

WALGREENS #12724 (NPI 1609881713) is a healthcare organization registered as a pharmacy in Davie, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1609881713

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address1251 S STATE ROAD 7Davie, FL 33317-5805

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(954) 584-2118

Fax(954) 584-7451

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira TaylorManager · (217) 709-2351

Enumeration DateJuly 29, 2006

Last NPPES UpdateApril 5, 20223 updates tracked since enumeration

NPPES CertifiedApril 5, 2022

✔ NPI 1609881713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in FL · PH0008924

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

1251 S STATE ROAD 7, Davie, FL 33317

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Other Names 1

Doing Business AsWalgreens #12724

Other Identifiers 3

Medicaid101508701 DMEFL

Other1051680Other Id Number-commercial Number

Medicaid101508700FL

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 10D2071894

Walgreen Co · Davie, FL

Active · expires Jun 1, 2027

CLIA Number10D2071894

Laboratory TypePharmacy

Certificate Effective DateJune 2, 2025

Certificate Expiration DateJune 1, 2027

Laboratory DirectorAsisha S. Koshy

Laboratory Phone(954) 584-2118

Laboratory LocationWalgreen Co1251 S State Rd 7, Davie, FL 33317

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 #12724 carries, from the Medicare DMEPOS supplier directory.

Walgreens #12724

DMEPOS supplier · Davie, FLOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #12724 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)20353133

Medicare Participant SinceMarch 1, 2022

Supplier Location1251 S State Road 7Davie, FL 33317

Phone(954) 584-2118

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

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

MIKE JEAN SIMON

Pharmacist

1251 S STATE ROAD 7
DAVIE, FL 33317

Broward County (954) 584-2118

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 1609881713. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #12724.

Where is Walgreen Co located?

Walgreen Co is located at 1251 S State Road 7, Davie, FL 33317. The listed phone number is (954) 584-2118.

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 #12724 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 10D2071894) is associated with this NPI, valid through June 1, 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 5, 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.