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WALGREENS #15852
NPI 1710060124
Pharmacy - Community/Retail Pharmacy in Jonesboro, AR

Active since October 23, 2006CLIA 04D2230002 · Waiver
1328 RED WOLF BLVD, JONESBORO, AR 72401(870) 935-2242(870) 930-9487 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2024, May 3, 2022, May 3, 2018 and 2 more (5 updates tracked since 2016).

About Walgreens #15852 NPPES

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

WALGREENS #15852 (NPI 1710060124) is a healthcare organization registered as a community/retail pharmacy in Jonesboro, Arkansas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists Virginia Garza, Manager, as its authorized official.

NPPES Registry Identity

NPI1710060124
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREEN CO
Location Address1328 RED WOLF BLVDJonesboro, AR 72401-4578
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(870) 935-2242
Fax(870) 930-9487
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialVirginia GarzaManager · (217) 709-2364
Enumeration DateOctober 23, 2006
Last NPPES UpdateJune 5, 20245 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1710060124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License AR20094 (AR)
Also ListedPharmacyTaxonomy 333600000X · License AR20094 (AR)
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
1328 RED WOLF BLVD, Jonesboro, AR 72401
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Other Names 1

Doing Business AsWalgreens #15852

Other Identifiers 3

Medicaid133638407AR
Other0403751Other Id Number-commercial Number
Other135608716AR · Medicaid Dme

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 04D2230002

Walgreens #15852 · Jonesboro, AR
Active · expires Jul 18, 2027
CLIA Number04D2230002
Laboratory TypePharmacy
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorWendy M. Jordan
Laboratory Phone(870) 935-2242
Laboratory LocationWalgreens #158521328 Red Wolf Blvd, Jonesboro, AR 72401
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 Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · Jonesboro, AR
✔

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)20379515
Medicare Participant SinceMarch 1, 2022
Supplier Location1328 Red Wolf BlvdJonesboro, AR 72401
Phone(870) 935-2242
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.

HUNG TRAN PHARMD
Pharmacist
1328 RED WOLF BLVD
JONESBORO, AR 72401
Craighead County (870) 935-2242

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 1710060124. It was assigned to this organization in the NPPES registry on October 23, 2006. The provider is doing business as Walgreens #15852.

Where is Walgreen Co located?

Walgreen Co is located at 1328 Red Wolf Blvd, Jonesboro, AR 72401. The listed phone number is (870) 935-2242.

What is Walgreen Co's specialty?

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

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 04D2230002) is associated with this NPI, valid through July 18, 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 44 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 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.