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WALGREENS #19396
NPI 1649795253
Pharmacy in South River, NJ

Active since August 04, 2017CLIA 31D2194917 · Waiver
231 PROSPECT ST, SOUTH RIVER, NJ 08882(732) 254-7777(732) 254-1124 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2022, Sep 13, 2019, Jun 15, 2018 and 3 more (6 updates tracked since 2017).

About Walgreens #19396 NPPES

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

WALGREENS #19396 (NPI 1649795253) is a healthcare organization registered as a pharmacy in South River, New Jersey and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through October 4, 2026 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1649795253
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address231 PROSPECT STSouth River, NJ 08882-1124
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(732) 254-7777
Fax(732) 254-1124
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 4, 2017
Last NPPES UpdateJune 8, 20226 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
✔ NPI 1649795253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NJ · 28RS00564100
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
231 PROSPECT ST, South River, NJ 08882
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Other Names 1

Doing Business AsWalgreens #19396

Other Identifiers 2

Medicaid0617997NJ
Other3154313NJ · Ncpdp

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 31D2194917

Walgreens # 19396 · South River, NJ
Active · expires Oct 4, 2026
CLIA Number31D2194917
Laboratory TypeCovid 19 Testing
Certificate Effective DateOctober 5, 2024
Certificate Expiration DateOctober 4, 2026
Laboratory DirectorRebecca Sun
Laboratory Phone(267) 626-9592
Laboratory LocationWalgreens # 19396231 Prospect Street, South River, NJ 08882
CLIA data matches this NPI record on: Address Name
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 Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · South River, NJ
✔

Accepts Medicare assignment

Walgreen Co 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)20401595
Medicare Participant SinceMarch 1, 2022
Supplier Location231 Prospect StSouth River, NJ 08882
Phone(732) 254-7777
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 7

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

DR. PRATIK D SHAH PHARM. D.
Pharmacist
231 PROSPECT ST
SOUTH RIVER, NJ 08882
Middlesex County (732) 254-7777
VISHAL SHETH RPH
Pharmacist
231 PROSPECT ST, PHARMACY DEPT
SOUTH RIVER, NJ 08882
Middlesex County (732) 254-7777
MIRIAM HANNA PHARMD
Pharmacist
231 PROSPECT ST
SOUTH RIVER, NJ 08882
Middlesex County (732) 254-7777
MRS. SILVIA A. CARVALHEIRO RPH
Pharmacist
231 PROSPECT ST
SOUTH RIVER, NJ 08882
Middlesex County (732) 254-7777
TRUPTI S GANDHI
Pharmacist
231 PROSPECT ST
SOUTH RIVER, NJ 08882
Middlesex County (732) 254-7777
JANE SUN PHARM.D
Pharmacist
231 PROSPECT ST
SOUTH RIVER, NJ 08882
Middlesex County (732) 254-7777
DR. STEVEN TOMA
Pharmacist
231 PROSPECT ST
SOUTH RIVER, NJ 08882
Middlesex County (732) 254-7777

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 1649795253. It was assigned to this organization in the NPPES registry on August 4, 2017. The provider is doing business as Walgreens #19396.

Where is Walgreen Co located?

Walgreen Co is located at 231 Prospect St, South River, NJ 08882. The listed phone number is (732) 254-7777.

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, Walgreen Co 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 31D2194917) is associated with this NPI, valid through October 4, 2026. 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 39 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 June 8, 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.