WALGREENS #05698
NPI 1922013994
Pharmacy in Port Orchard, WA

Active since July 29, 2006CLIA 50D2060972 · Waiver
3099 BETHEL RD SE, PORT ORCHARD, WA 98366(360) 876-5212 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 28, 2022, Apr 1, 2019, May 10, 2018 and 1 more (4 updates tracked since 2015).

About Walgreens #05698 NPPES

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

WALGREENS #05698 (NPI 1922013994) is a healthcare organization registered as a pharmacy in Port Orchard, Washington and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1922013994
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3099 BETHEL RD SEPort Orchard, WA 98366-2432
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 29, 2006
Last NPPES UpdateApril 28, 20224 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
NPI 1922013994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in WA · CF56738
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
3099 BETHEL RD SE, Port Orchard, WA 98366

Other Names 1

Doing Business AsWalgreens #05698

Other Identifiers 2

Other4928048Other Id Number-commercial Number
Medicaid6023626WA

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 50D2060972

Walgreens #5698 · Port Orchard, WA
Active · expires Apr 4, 2028
CLIA Number50D2060972
Laboratory TypePharmacy
Certificate Effective DateDecember 15, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorFranklin Antonio Rodriguez Mendoza
Laboratory Phone(360) 876-5212
Laboratory LocationWalgreens #56983099 Bethel Rd SE, Port Orchard, WA 98366
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
156 services154 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
116 services116 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
32 services32 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
17 services17 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
17 services17 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #05698 carries, from the Medicare DMEPOS supplier directory.

Walgreens #05698

DMEPOS supplier · Port Orchard, WAOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #05698 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)20359307
Medicare Participant SinceMarch 1, 2022
Supplier Location3099 Bethel Rd SEPort Orchard, WA 98366
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 7

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

Pharmacist
3099 BETHEL RD SE
PORT ORCHARD, WA 98366
Pharmacist
3099 BETHEL RD SE
PORT ORCHARD, WA 98366
Pharmacist
3099 BETHEL RD SE
PORT ORCHARD, WA 98366
Pharmacist
3099 BETHEL RD SE
PORT ORCHARD, WA 98366
Pharmacist
3099 BETHEL RD SE
PORT ORCHARD, WA 98366
Pharmacist
3099 BETHEL RD SE
PORT ORCHARD, WA 98366
Pharmacy Technician
3099 BETHEL RD SE
PORT ORCHARD, WA 98366

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 1922013994. It was assigned to this organization in the NPPES registry on July 29, 2006.

Where is Walgreen Co located?

Walgreen Co is located at 3099 Bethel Rd SE, Port Orchard, WA 98366. The listed phone number is (360) 876-5212.

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 #05698 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 50D2060972) is associated with this NPI, valid through April 4, 2028. 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 40 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 April 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.