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WALGREENS SPECIALTY PHARMACY #21162
NPI 1730673385
Pharmacy in Jacksonville, FL

Active since June 18, 2018
1301 PALM AVE STE 210, JACKSONVILLE, FL 32207(904) 559-3504 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2024, Mar 7, 2023, Apr 25, 2019 and 4 more (7 updates tracked since 2018).

About Walgreens Specialty Pharmacy #21162 NPPES

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

WALGREENS SPECIALTY PHARMACY #21162 (NPI 1730673385) is a healthcare organization registered as a pharmacy in Jacksonville, Florida and active in the NPI registry since June 2018. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1730673385
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1301 PALM AVE STE 210Jacksonville, FL 32207-8432
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Phone(904) 559-3504
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJune 18, 2018
Last NPPES UpdateNovember 11, 20247 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1730673385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PH31617
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
1301 PALM AVE STE 210, Jacksonville, FL 32207
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Other Names 1

Doing Business AsWalgreens Specialty Pharmacy #21162

Other Identifiers 4

Medicaid000774800FL
Medicaid100964900FL
Medicaid000774801FL
Other5738159FL · 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 ›

Areas of Expertise CMS Part B claims 3

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.
29 services29 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services15 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
12 services12 patients

Other Providers at the Same Location NPPES

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

SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC
Pharmacy (Community/Retail Pharmacy)
1301 PALM AVE STE 210
JACKSONVILLE, FL 32207
Duval County (904) 202-2555

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 1730673385. It was assigned to this organization in the NPPES registry on June 18, 2018. The provider is doing business as Walgreens Specialty Pharmacy #21162.

Where is Walgreen Co located?

Walgreen Co is located at 1301 Palm Ave Ste 210, Jacksonville, FL 32207. The listed phone number is (904) 559-3504.

What is Walgreen Co's specialty?

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

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 November 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.