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WALGREENS #11137
NPI 1972778454
Pharmacy in Jacksonville, FL

Active since April 25, 2008CLIA 10D2012264 · Waiver
1801 N DAVIS ST, JACKSONVILLE, FL 32209(904) 353-1942(904) 353-6294 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2024, Nov 1, 2023, Apr 19, 2019 and 2 more (5 updates tracked since 2016).

About Walgreens #11137 NPPES

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

WALGREENS #11137 (NPI 1972778454) is a healthcare organization registered as a pharmacy in Jacksonville, Florida and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Virginia Garza, Manager, as its authorized official.

NPPES Registry Identity

NPI1972778454
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1801 N DAVIS STJacksonville, FL 32209-5779
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2364 · Fax (217) 709-2344
Phone(904) 353-1942
Fax(904) 353-6294
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialVirginia GarzaManager · (217) 709-2364
Enumeration DateApril 25, 2008
Last NPPES UpdateJuly 29, 20245 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1972778454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PH23466
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
1801 N DAVIS ST, Jacksonville, FL 32209
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Other Names 1

Doing Business AsWalgreens #11137

Other Identifiers 3

Medicaid000211801FL
Other1034711Ncpdp
Medicaid000211800FL

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 10D2012264

Walgreen Co · Jacksonville, FL
Active · expires Jun 30, 2027
CLIA Number10D2012264
Laboratory TypePharmacy
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorRodney Ransom
Laboratory Phone(904) 353-1942
Laboratory LocationWalgreen Co1801 N Davis St, Jacksonville, FL 32209
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 #11137 carries, from the Medicare DMEPOS supplier directory.

Walgreens #11137

DMEPOS supplier · Jacksonville, FLOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #11137 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)20372921
Medicare Participant SinceMarch 1, 2022
Supplier Location1801 N Davis StJacksonville, FL 32209
Phone(904) 353-1942
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 4

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

WESLEY K SINGLETON PHARMD
Pharmacist
1801 N DAVIS ST
JACKSONVILLE, FL 32209
Duval County (904) 353-1942
DR. BRANDON HARRIS PHARMD
Pharmacist
1801 N DAVIS ST
JACKSONVILLE, FL 32209
Duval County (904) 742-8807
MR. JOSEPH T LILLIA
Pharmacist
1801 N DAVIS ST
JACKSONVILLE, FL 32209
Duval County (904) 353-1942
DR. AMJAD ABU MALLOUH PHARMD.
Pharmacist
1801 N DAVIS ST
JACKSONVILLE, FL 32209
Duval County (904) 353-1942

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 1972778454. It was assigned to this organization in the NPPES registry on April 25, 2008. The provider is doing business as Walgreens #11137.

Where is Walgreen Co located?

Walgreen Co is located at 1801 N Davis St, Jacksonville, FL 32209. The listed phone number is (904) 353-1942.

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 #11137 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 10D2012264) is associated with this NPI, valid through June 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 July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.