WALGREENS # 11069
NPI 1902820129
Pharmacy in Wilmington, DE

Active since July 27, 2006CLIA 08D2011874 · Waiver
1710 FAULKLAND RD, WILMINGTON, DE 19805(302) 994-1971(302) 994-7272 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 30, 2023, Nov 12, 2018 (2 updates tracked since 2018).

About Walgreens # 11069 NPPES

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

WALGREENS # 11069 (NPI 1902820129) is a healthcare organization registered as a pharmacy in Wilmington, Delaware and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1902820129
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1710 FAULKLAND RDWilmington, DE 19805-1160
Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(302) 994-7272
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 27, 2006
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
NPI 1902820129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in DE · A3-0000826
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
1710 FAULKLAND RD, Wilmington, DE 19805

Other Names 1

Doing Business AsWalgreens # 11069

Other Identifiers 2

Medicaid1000021613DE
Other0804054Ncpdp

Accepted 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 08D2011874

Walgreens # 11069 · Wilmington, DE
Active · expires Aug 31, 2027
CLIA Number08D2011874
Laboratory TypePharmacy
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorDivya R. Joseph
Laboratory Phone(302) 994-1971
Laboratory LocationWalgreens # 110691710 Faulkland Rd, Wilmington, DE 19805
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 #11069 carries, from the Medicare DMEPOS supplier directory.

Walgreens #11069

DMEPOS supplier · Wilmington, DEOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #11069 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)20383799
Medicare Participant SinceMarch 1, 2022
Supplier Location1710 Faulkland RdWilmington, DE 19805
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 2

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

Pharmacist
1710 FAULKLAND RD
WILMINGTON, DE 19805
Pharmacist
1710 FAULKLAND RD
WILMINGTON, DE 19805

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 1902820129. It was assigned to this organization in the NPPES registry on July 27, 2006. The provider is doing business as Walgreens # 11069.

Where is Walgreen Co located?

Walgreen Co is located at 1710 Faulkland Rd, Wilmington, DE 19805. The listed phone number is (302) 994-1971.

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 #11069 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 08D2011874) is associated with this NPI, valid through August 31, 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 October 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.