WALGREENS
NPI 1790055945
Pharmacy - Community/Retail Pharmacy in Portsmouth, VA

Active since January 05, 2012CLIA 49D2014573 · Waiver
700 FREDERICK BLVD, PORTSMOUTH, VA 23707(757) 391-9123 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walgreens NPPES

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

WALGREENS (NPI 1790055945) is a healthcare organization registered as a community/retail pharmacy in Portsmouth, Virginia and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Jeff Vanschaack, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1790055945
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREENS
Location Address700 FREDERICK BLVDPortsmouth, VA 23707-3314
Mailing Address1144 Kingsbury DrChesapeake, VA 23322-4264 · (757) 472-8580
Organization SubpartNo
Authorized OfficialJeff VanschaackPharmacist · (757) 472-8580
Enumeration DateJanuary 5, 2012
NPI 1790055945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Licenses Licensed in VA · 0202204450 Licensed in NC · 14803
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.
700 FREDERICK BLVD, Portsmouth, VA 23707

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 49D2014573

Walgreens #04616 · Portsmouth, VA
Active · expires Jun 8, 2027
CLIA Number49D2014573
Laboratory TypePharmacy
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorBrian Holmes
Laboratory Phone(757) 391-9123
Laboratory LocationWalgreens #04616700 Frederick Boulevard, Portsmouth, VA 23707
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 Walgreens #4616 carries, from the Medicare DMEPOS supplier directory.

Walgreens #4616

DMEPOS supplier · Portsmouth, VAOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #4616 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)20389901
Medicare Participant SinceMarch 1, 2022
Supplier Location700 Frederick BlvdPortsmouth, VA 23707
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 8

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

Pharmacy
700 FREDERICK BLVD
PORTSMOUTH, VA 23707
Pharmacist
700 FREDERICK BLVD
PORTSMOUTH, VA 23707
Pharmacist
700 FREDERICK BLVD
PORTSMOUTH, VA 23707
Pharmacist
700 FREDERICK BLVD
PORTSMOUTH, VA 23707
Pharmacist
700 FREDERICK BLVD
PORTSMOUTH, VA 23707
Pharmacist
700 FREDERICK BLVD
PORTSMOUTH, VA 23707
Pharmacist (Pharmacotherapy)
700 FREDERICK BLVD
PORTSMOUTH, VA 23707
Pharmacist
700 FREDERICK BLVD
PORTSMOUTH, VA 23707

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 1790055945. It was assigned to this organization in the NPPES registry on January 5, 2012.

Where is Walgreens located?

Walgreens is located at 700 Frederick Blvd, Portsmouth, VA 23707. The listed phone number is (757) 391-9123.

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 #4616 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 49D2014573) is associated with this NPI, valid through June 8, 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 January 5, 2012. 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.