WALGREENS #12444
NPI 1962417972
Pharmacy in Cleveland, OH

Active since July 29, 2006CLIA 36D2218944 · Waiver
3415 CLARK AVE, CLEVELAND, OH 44109(216) 651-0212(216) 651-4675 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2024, Oct 17, 2016, Jan 12, 2016 (3 updates tracked since 2016).

About Walgreens #12444 NPPES

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

WALGREENS #12444 (NPI 1962417972) is a healthcare organization registered as a pharmacy in Cleveland, Ohio and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 30, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1962417972
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3415 CLARK AVECleveland, OH 44109-1135
Mailing Address1901 E Voorhees St, Mailstop #790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Fax(216) 651-4675
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJuly 29, 2006
Last NPPES UpdateOctober 10, 20243 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
NPI 1962417972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in OH · 20790400
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
3415 CLARK AVE, Cleveland, OH 44109

Other Names 1

Doing Business AsWalgreens #12444

Other Identifiers 2

Medicaid0980961OH
Other3659882Other Id Number-commercial Number

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 36D2218944

Walgreens #12444 · Cleveland, OH
Active · expires Mar 30, 2027
CLIA Number36D2218944
Laboratory TypePharmacy
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorMelanie Tapaszi
Laboratory Phone(216) 651-0212
Laboratory LocationWalgreens #124443415 Clark Ave, Cleveland, OH 44109
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

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.
23 services23 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #12444 carries, from the Medicare DMEPOS supplier directory.

Walgreens #12444

DMEPOS supplier · Cleveland, OHOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #12444 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)20361527
Medicare Participant SinceMarch 1, 2022
Supplier Location3415 Clark AveCleveland, OH 44109
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.

Pharmacist
3415 CLARK AVE
CLEVELAND, OH 44109
Pharmacist
3415 CLARK AVE
CLEVELAND, OH 44109
Pharmacist
3415 CLARK AVE
CLEVELAND, OH 44109
Pharmacy Technician
3415 CLARK AVE
CLEVELAND, OH 44109
Pharmacist
3415 CLARK AVE
CLEVELAND, OH 44109
Pharmacist
3415 CLARK AVE
CLEVELAND, OH 44109

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 1962417972. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #12444.

Where is Walgreen Co located?

Walgreen Co is located at 3415 Clark Ave, Cleveland, OH 44109. The listed phone number is (216) 651-0212.

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 #12444 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 36D2218944) is associated with this NPI, valid through March 30, 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 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 October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.