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WALGREENS #02416
NPI 1619984648
Pharmacy in Miami, FL

Active since August 02, 2006CLIA 10D2291128 · Waiver
10609 SW 40TH ST, MIAMI, FL 33165(305) 553-8273 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2023, Mar 1, 2022, May 4, 2018 (3 updates tracked since 2018).

About Walgreens #02416 NPPES

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

WALGREENS #02416 (NPI 1619984648) is a healthcare organization registered as a pharmacy in Miami, Florida and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 4, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1619984648
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address10609 SW 40TH STMiami, FL 33165-3612
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(305) 553-8273
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateAugust 2, 2006
Last NPPES UpdateOctober 31, 20233 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1619984648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PH0011137
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
10609 SW 40TH ST, Miami, FL 33165
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Other Names 1

Doing Business AsWalgreens #02416

Other Identifiers 3

Other1064447Other Id Number-commercial Number
Medicaid100975301 DMEFL
Medicaid100975300FL

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 10D2291128

Walgreen Co · Miami, FL
Active · expires Oct 4, 2027
CLIA Number10D2291128
Laboratory TypePharmacy
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorRafael J. Quintana
Laboratory Phone(305) 553-8273
Laboratory LocationWalgreen Co10609 SW 40th St, Miami, FL 33165
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.
21 services19 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #2416 carries, from the Medicare DMEPOS supplier directory.

Walgreens #2416

DMEPOS supplier · Miami, FLOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #2416 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)20357231
Medicare Participant SinceMarch 1, 2022
Supplier Location10609 SW 40th StMiami, FL 33165
Phone(305) 553-8273
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 4

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

CLAUDIA PENA
Pharmacist
10609 SW 40TH ST
MIAMI, FL 33165
Miami-Dade County (305) 553-8273
DR. YUNIEL TUERO
Pharmacist
10609 SW 40TH ST
MIAMI, FL 33165
Miami-Dade County (305) 553-8273
MR. RAUL I GALLO PHARM.B, RPH.
Pharmacist
10609 SW 40TH ST
MIAMI, FL 33165
Miami-Dade County (305) 553-8273
ALEIDA VAZQUEZ CAMPOS
Pharmacist
10609 SW 40TH ST
MIAMI, FL 33165
Miami-Dade County (305) 553-8273

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 1619984648. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Walgreens #02416.

Where is Walgreen Co located?

Walgreen Co is located at 10609 SW 40th St, Miami, FL 33165. The listed phone number is (305) 553-8273.

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 #2416 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 10D2291128) is associated with this NPI, valid through October 4, 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 October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.