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WALGREENS
NPI 1891062329
Pharmacist in Pawtucket, RI

Active since November 29, 2011CLIA 41D2224476 · Waiver
100 BROAD STREET, PAWTUCKET, RI 02860(401) 724-6724 Get Directions Write a Review

NPPES record last updated: November 29, 2011. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Walgreens NPPES

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

WALGREENS (NPI 1891062329) is a healthcare organization registered as a pharmacist in Pawtucket, Rhode Island and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through May 12, 2027 and lists Charles C Agwunobi, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1891062329
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameWALGREENS
Location Address100 BROAD STREETPawtucket, RI 02860
Mailing Address100 Broad StPawtucket, RI 02860-2024 · (401) 724-6724
Phone(401) 724-6724
Organization SubpartNo
Authorized OfficialCharles C AgwunobiPharmacist · (401) 499-5427
Enumeration DateNovember 29, 2011
✔ NPI 1891062329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in RI · RPH04694
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
100 BROAD STREET, Pawtucket, RI 02860
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 41D2224476

Walgreens #03468 · Pawtucket, RI
Active · expires May 12, 2027
CLIA Number41D2224476
Laboratory TypePharmacy
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorVictoria A. Hudson
Laboratory Phone(401) 724-6724
Laboratory LocationWalgreens #03468100 Broad St, Pawtucket, RI 02860
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 #3468 carries, from the Medicare DMEPOS supplier directory.

Walgreens #3468

DMEPOS supplier · Pawtucket, RIOperated by Walgreen Eastern Co Inc
✔

Accepts Medicare assignment

Walgreens #3468 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)20336567
Medicare Participant SinceJanuary 1, 2023
Supplier Location100 Broad StPawtucket, RI 02860
Phone(401) 724-6724
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.

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 1891062329. It was assigned to this organization in the NPPES registry on November 29, 2011.

Where is Walgreens located?

Walgreens is located at 100 Broad Street, Pawtucket, RI 02860. The listed phone number is (401) 724-6724.

What is Walgreens's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Does Walgreens accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #3468 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 41D2224476) is associated with this NPI, valid through May 12, 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 November 29, 2011. 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.