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WALGREENS #17847
NPI 1770007601
Pharmacy in Jersey City, NJ

Active since August 02, 2017CLIA Certified · 2 labs
1212 SUMMIT AVE, JERSEY CITY, NJ 07307(201) 876-0107(201) 876-0142 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2022, Aug 15, 2019, May 2, 2018 and 3 more (6 updates tracked since 2017).

About Walgreens #17847 NPPES

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

WALGREENS #17847 (NPI 1770007601) is a healthcare organization registered as a pharmacy in Jersey City, New Jersey and active in the NPI registry since August 2017. The organization holds 2 active CLIA laboratory certificates and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1770007601
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1212 SUMMIT AVEJersey City, NJ 07307-3137
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(201) 876-0107
Fax(201) 876-0142
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 2, 2017
Last NPPES UpdateMay 16, 20226 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
✔ NPI 1770007601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NJ · 28RS00553600
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
1212 SUMMIT AVE, Jersey City, NJ 07307
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Other Names 1

Doing Business AsWalgreens #17847

Other Identifiers 2

Other3153587NJ · Ncpdp
Medicaid0609447NJ

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 2

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 31D2290605

Walgreens 14402 · Jersey City, NJ
Active · expires Sep 26, 2027
CLIA Number31D2290605
Laboratory TypePharmacy
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorDrew S. Grasmick
Laboratory Phone(201) 433-0108
Laboratory LocationWalgreens 14402110 Newark Ave, Jersey City, NJ 07302
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D2290607

Walgreens 14306 · Jersey City, NJ
Active · expires Sep 26, 2027
CLIA Number31D2290607
Laboratory TypePharmacy
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorNashwah M. Omar
Laboratory Phone(201) 216-1166
Laboratory LocationWalgreens 1430652 River Dr S, Jersey City, NJ 07310
CLIA data matches this NPI record on: 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 Walgreens #17847 carries, from the Medicare DMEPOS supplier directory.

Walgreens #17847

DMEPOS supplier · Jersey City, NJOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #17847 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)20380799
Medicare Participant SinceMarch 1, 2022
Supplier Location1212 Summit AveJersey City, NJ 07307
Phone(201) 876-0107
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.

WALGREEN CO
Durable Medical Equipment & Medical Supplies
1212 SUMMIT AVE
JERSEY CITY, NJ 07307
Hudson County (201) 876-0107

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 1770007601. It was assigned to this organization in the NPPES registry on August 2, 2017. The provider is doing business as Walgreens #17847.

Where is Walgreen Co located?

Walgreen Co is located at 1212 Summit Ave, Jersey City, NJ 07307. The listed phone number is (201) 876-0107.

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 #17847 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 May 16, 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.