WALGREENS (NPI# 1215219241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215219241 |
| Entity Type | Organization |
| Organization Name | WALGREENS |
| Practice Address |
1661 Nw Saint Lucie West Blvd Port St Lucie FL 34986-2106 |
| Mailing Address |
2619 Ne Sabal Palm Way Jensen Beach FL 34957-6509 |
| Practice Telephone | 7728731892 |
| Mailing Telephone | 7722152490 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |
| Authorized Official Name | MS. KARA DENYSE MENESICK (REGISTERED IMMUNIZING PHARMACIST) |
| Authorized Official Telephone | 7722152490 |
| Authorized Official Credential | PHARM D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PS47625 | FL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790228146 | Walgreens | Health Maintenance Organization | 99 Tide Mill Ln, Apt #96, Hampton, VA 23666-2764 | 2016-12-02 |
| 1790140663 | Walgreens | Pharmacy | 4524 Tutbury Ct, Amarillo, TX 79119-6514 | 2015-12-21 |
| 1285003442 | Walgreens | Pharmacy | 7937 Hendricks Dr, San Diego, CA 92126-3538 | 2015-09-17 |
| 1932585387 | Walgreens | Pharmacy | 214 Emerson St, Palo Alto, CA 94301-1056 | 2015-08-09 |
| 1972989861 | Walgreens | Pharmacy | 3528 S Clement Ave, Milwaukee, WI 53207-3502 | 2015-08-03 |
| 1437534542 | Walgreens | Pharmacy | 13 North Black Horse Pike, Williamstown, NJ 08094 | 2015-07-30 |
| 1134503261 | Walgreens | Pharmacy | 333 Riverland Dr, Charleston, SC 29412-2345 | 2015-07-18 |
| 1255726964 | Walgreens | Pharmacy | 2221 Naomi St, Houston, TX 77054-3823 | 2015-03-31 |
| 1578957403 | Walgreens | Pharmacist | Cond Villa Caparra Plz, 580 Marginal Buchanan, Guaynabo, PR 00966-1731 | 2015-03-28 |
| 1427441716 | Walgreens | Contractor | 388 Beale St Apt 1305, Folsom, San Francisco, CA 94105-4422 | 2015-03-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WALGREENS | 200 Wilmot Rd, Deerfield, IL 60015-4620 |
| Oregon Corporations, Companies and Business Names | WALGREENS | 302 Wilmot Rd Ms #3353, Deerfield, IL 60015 |
| Vermont Business Registrations | WALGREENS #11526 | 302 Wilmot Rd., Ms #3353, Deerfield, IL 60015 |
| New York State Corporations | WALGREENS 6195, LLC | 314 Fifth Avenue, Floor 3, New York, New York 10001 |
| New York State Corporations | WALGREENS FEDERAL HEIGHTS INVESTORS, LLC | 322 Main Street, Port Washington, New York 11050 |
| New York State Corporations | WALGREENS FRESNO INVESTORS, LLC | 322 Main Street, Port Washington, Ny 11050 |
| Vermont Business Registrations | WALGREENS HEALTH INITIATIVES | 200 Wilmot Rd, Deerfield, IL 60015 |
| Oklahoma Business Registrations | WALGREENS HEALTHCARE PLUS, INC. | Law, 200 Wilmot Rd., Deerfield, IL 60015 |
| Vermont Business Registrations | WALGREENS HEALTHCARE PLUS, INC. | 200 Wilmot Road, Deerfield, IL 60015 |
| Indiana Business Entities | WALGREENS HEALTHCARE PLUS, INC. | 300 Wilmot Road, Attn: Tax Dept., Deerfield, IL 60015 |
| Street Address |
1661 NW SAINT LUCIE WEST BLVD |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34986-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639184880 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1661 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-2106 | 2006-07-29 |
| 1801167283 | Paul Matala | Pharmacist | 1661 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-2106 | 2012-01-18 |
| 1770865479 | Donald Dean Dorrington Jr. | Pharmacist | 1661 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-2106 | 2011-09-19 |
| 1952683880 | Kara Denyse Menesick | Pharmacist | 1661 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-2106 | 2011-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992933 | Lindsay B Rojas | Occupational Therapist | 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 | 2018-05-15 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1740634930 | The Toledo Clinic, LLC | Clinic/Center | 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 | 2016-04-14 |
| 1326407230 | Merline Smellie | Social Worker | 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 | 2016-02-19 |
| 1124486949 | Therapy Connection of The Treasure Coast | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 | 2016-02-08 |
| 1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
| 1689056889 | Joshua Chupp | Dentist | 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 | 2015-06-24 |
| 1366821720 | Kids Therapy Solutions | Occupational Therapist | 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 | 2015-05-19 |
| 1134514086 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1384 Sw St. Lucie, Port St. Lucie, FL 34986 | 2015-03-30 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| Find all providers in zip 34986 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548650088 | Clover Pharmacy Inc | Pharmacy | 259-357 Se Port St Lucie Blvd, Port St Lucie, FL 34952 | 2015-02-04 |
| 1427489939 | Remed Pharmacy | Pharmacy | 10163 S Us Highway 1, Port St Lucie, FL 34952-5610 | 2013-12-09 |
| 1629371679 | Pappy's Drugs, Inc | Pharmacy | 889 E Prima Vista Blvd, Port St Lucie, FL 34952-2342 | 2010-12-14 |
| 1790863066 | Value Health Consultants | Pharmacy | 1707 Nw Saint Lucie West Blvd Ste 166, Port St Lucie, FL 34986-2520 | 2006-11-02 |
| 1831293810 | Holiday Cvs LLC | Pharmacy | 9197 S Us Highway 1, Port St Lucie, FL 34952-3405 | 2006-09-12 |
| 1225132103 | Holiday Cvs LLC | Pharmacy | 2873 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-2884 | 2006-09-12 |
| 1245247238 | Walgreen Co | Pharmacy | 9000 S Us Highway 1, Port St Lucie, FL 34952-3408 | 2006-08-02 |
| 1407365513 | Martin Memorial Physicians Corp | Pharmacy | 10080 Sw Innovation Way Ste 102, Port St Lucie, FL 34987-2129 | 2017-09-21 |
| 1427487396 | Walmart Pharmacy | Pharmacy | 1675 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-2106 | 2013-11-01 |
| 1376825315 | Walgreens Pharmacy | Pharmacy | 1025 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5386 | 2011-09-15 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34986 |
Please comment or provide details below to improve the information on WALGREENS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.