WALGREENS
NPI 1659640332
Pharmacy - Community/Retail Pharmacy in Plant City, FL

Active since December 23, 2011CLIA 10D2243056 · Waiver
1802 JIM REDMAN PKWY, PLANT CITY, FL 33563(813) 752-6192 Get Directions Write a Review

NPPES record last updated: December 23, 2011. 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 1659640332) is a healthcare organization registered as a community/retail pharmacy in Plant City, Florida and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Michelle Dejesus, Staff Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1659640332
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREENS
Location Address1802 JIM REDMAN PKWYPlant City, FL 33563-6914
Mailing Address1802 Jim Redman PkwyPlant City, FL 33563-6914 · (813) 752-6192
Organization SubpartNo
Authorized OfficialMichelle DejesusStaff Pharmacist · (813) 752-6192
Enumeration DateDecember 23, 2011
NPI 1659640332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in FL · PS45210
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.
1802 JIM REDMAN PKWY, Plant City, FL 33563

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 10D2243056

Walgreen Co · Plant City, FL
Active · expires Nov 15, 2027
CLIA Number10D2243056
Laboratory TypePharmacy
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorRajeev K. Thomas
Laboratory Phone(813) 752-6192
Laboratory LocationWalgreen Co1802 James L Redman Pkwy, Plant City, FL 33563
CLIA data matches this NPI record on: 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 #1208 carries, from the Medicare DMEPOS supplier directory.

Walgreens #1208

DMEPOS supplier · Plant City, FLOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #1208 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)20362013
Medicare Participant SinceMarch 1, 2022
Supplier Location1802 Jim Redman PkwyPlant City, FL 33563
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 2

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

Pharmacist
1802 JIM REDMAN PKWY
PLANT CITY, FL 33563
Pharmacist
1802 JIM REDMAN PKWY
PLANT CITY, FL 33563

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 1659640332. It was assigned to this organization in the NPPES registry on December 23, 2011.

Where is Walgreens located?

Walgreens is located at 1802 Jim Redman Pkwy, Plant City, FL 33563. The listed phone number is (813) 752-6192.

What is Walgreens's specialty?

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

Does Walgreens accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #1208 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 10D2243056) is associated with this NPI, valid through November 15, 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 December 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.