Walgreens

Walgreens is a healthcare organization registered as Community/Retail Pharmacy in Lake Wales, FL, holding Type 2 (organization) NPI 1619258209 since 2011. The authorized official on file is John Roth, Pharmacy Manager.

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NPI	1619258209
Entity type	Organization (Type 2)
Legal business name	Walgreens
Practice address	1903 STATE ROAD 60 E, Lake Wales, FL, 33853
Phone	8636769496
Enumeration date	2011-09-08
Last updated in NPPES	2011-09-08

Authorized official

Name	John Roth
Title	Pharmacy Manager
Phone	8636769496

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
3336C0003X	Community/Retail Pharmacy	Primary	PS44826	FL

Copy-ready billing details

Provider: Walgreens
NPI: 1619258209
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 1903 STATE ROAD 60 E, Lake Wales, FL, 33853

Providers at this address

NPI	Name	Type	Specialty	Location
1164437273	Walgreen Co	Organization	Pharmacy	Lake Wales, FL
1639296379	Ashish Shah	Individual	Pharmacist	Lake Wales, FL
1679747349	Sanjaykumar Shah	Individual	Pharmacist	Lake Wales, FL
1578844981	Christine Clifton	Individual	Pharmacist	Lake Wales, FL
1982986444	Norshawndra Smith	Individual	Pharmacist	Lake Wales, FL
1699058487	Halim Farag	Individual	Pharmacist	Lake Wales, FL
1447520945	John Roth	Individual	Pharmacist	Lake Wales, FL
1821341900	Priyanka Patel	Individual	Pharmacist	Lake Wales, FL

Verify this record

Cross-check NPI 1619258209 against the authoritative CMS record: view Walgreens on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-09-08. Verify at npiregistry.cms.hhs.gov.

Where is Walgreens located?

The practice location on file with NPPES is in Lake Wales, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-09-08.