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WALGREEN CO
NPI 1831612696
Pharmacy in Brooklyn, NY

Active since July 24, 2017CLIA 33D2294126 · Waiver
462 5TH AVE, BROOKLYN, NY 11215(718) 499-7500(718) 499-3547 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2022, Aug 30, 2019, Jul 24, 2018 and 4 more (7 updates tracked since 2017).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1831612696), doing business as Walgreens #17772, is a healthcare organization registered as a pharmacy in Brooklyn, New York and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1831612696
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address462 5TH AVEBrooklyn, NY 11215-4004
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(718) 499-7500
Fax(718) 499-3547
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 24, 2017
Last NPPES UpdateJune 23, 20267 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1831612696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 036380
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
462 5TH AVE, Brooklyn, NY 11215
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Other Names 1

Doing Business AsWalgreens #17772

Other Identifiers 2

Medicaid05072880NY
Other5824265NY · 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 ›

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 33D2294126

Walgreens No 17772 · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2294126
Laboratory TypePharmacy
Certificate Effective DateNovember 20, 2023
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Zeiad A. Fakhouri
Laboratory Phone(718) 499-7500
Laboratory LocationWalgreens No 17772462 5th Ave, Brooklyn, NY 11215
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 #17772 carries, from the Medicare DMEPOS supplier directory.

Walgreens #17772

DMEPOS supplier · Brooklyn, NYOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #17772 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)20381597
Medicare Participant SinceMarch 1, 2022
Supplier Location462 5th AveBrooklyn, NY 11215
Phone(718) 499-7500
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 6

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

PAUL JOSEPH SMOLENSKI BS
Pharmacist
462 5TH AVE
BROOKLYN, NY 11215
Kings County (718) 499-7500
CHUNG YAN
Pharmacist
462 5TH AVE
BROOKLYN, NY 11215
Kings County (718) 499-7500
MR. WANG S WONG
Pharmacist
462 5TH AVE
BROOKLYN, NY 11215
Kings County (718) 499-7500
TUNG THANH TRUONG JR. RPH
Pharmacist
462 5TH AVE
BROOKLYN, NY 11215
Kings County (718) 499-7500
MR. JUAN S WONG
Pharmacist
462 5TH AVE
BROOKLYN, NY 11215
Kings County (718) 499-7500
DR. AMARILDO ZIU DOCTOR OF PHARMACY
Pharmacist
462 5TH AVE
BROOKLYN, NY 11215
Kings County (718) 499-7400

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 1831612696. It was assigned to this organization in the NPPES registry on July 24, 2017. The provider is doing business as Walgreens #17772.

Where is Walgreen Co located?

Walgreen Co is located at 462 5th Ave, Brooklyn, NY 11215. The listed phone number is (718) 499-7500.

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 #17772 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 33D2294126) is associated with this NPI, valid through March 26, 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 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 June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.