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: July 19, 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
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

Other Names 1

Doing Business AsWalgreens #11137

Other Identifiers 3

Medicaid000211801FL
Other1034711Ncpdp
Medicaid000211800FL

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 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

The provider carries the following medical supplies product categories:

PTAN
20372921
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

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.

Pharmacist
1801 N DAVIS ST
JACKSONVILLE, FL 32209
Pharmacist
1801 N DAVIS ST
JACKSONVILLE, FL 32209
Pharmacist
1801 N DAVIS ST
JACKSONVILLE, FL 32209
Pharmacist
1801 N DAVIS ST
JACKSONVILLE, FL 32209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972778454, enumerated as an "organization" on April 25, 2008.

The provider is located at 1801 N DAVIS ST JACKSONVILLE, FL 32209 and the phone number is (904) 353-1942.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.