Walgreens Specialty Pharmacy #16490

Pharmacy Accepts Medicare


  
  4130 La Jolla Village Dr Ste 103, La Jolla
California, 92037-1480

 858-352-2242    858-352-2244
Walgreens Specialty Pharmacy #16490 is a Pharmacy in La Jolla, California. This pharmacy is owned and operated by Walgreen Co. This organization is also known as sub part of Walgreens Boots Alliance Inc. It is located at 4130 La Jolla Village Dr Ste 103, La Jolla and it's customer support contact number is 858-352-2242. The authorized person of Walgreens Specialty Pharmacy #16490 is Jennifer Ponce who is Manager of the pharmacy and his contact number is 847-527-2489. Active license number of Walgreens Specialty Pharmacy #16490 is 54639 for Pharmacy in California. Walgreens Specialty Pharmacy #16490 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Walgreens Specialty Pharmacy #16490 is 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.


Pharmacy Details:
Walgreens Specialty Pharmacy #16490 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Walgreens Specialty Pharmacy #16490
Type: Pharmacy
Location:4130 La Jolla Village Dr Ste 103, La Jolla,
California, 92037-1480
Phone:858-352-2242
Fax:858-352-2244
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Jennifer Ponce
Position: Manager
Contact Number: 847-527-2489
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1205380227
Parent Organization: Walgreens Boots Alliance Inc
NPI Enumeration Date: 08 Aug, 2016
NPI Last Update On: 02 Nov, 2024

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Walgreens Specialty Pharmacy #16490 are as mentioned below.
SpecializationLicense NumberStateStatus
Pharmacy 54639CaliforniaPrimary
Durable Medical Equipment & Medical Supplies Secondary
Community/Retail Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
5661029OtherCaliforniaNcpdp
1205380227MedicaidCalifornia
Medicare Enrollment:
Walgreens Specialty Pharmacy #16490 is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
0941278253O20170109000184Walgreen CoDME SUPPLIER - PHARMACY
Products Available:
Walgreens Specialty Pharmacy #16490 has following products available for sale under medicare.
    Products
  • Blood Glucose Monitors & Supplies: Non-mail Order
  • Canes & Crutches
  • Commodes, Urinals, & Bedpans
  • Orthoses: Off-the-shelf
  • Ostomy Supplies
  • Surgical Dressings
  • Urological Supplies
  • Business Mailing Address:
    Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
    Address: 1901 E Voorhees St, Ms 790
    Danville, Illinois
    Zip: 61834-4509
    Phone Number: 847-527-2489
    Fax Number: 217-709-2344
    Patients can reach Walgreens Specialty Pharmacy #16490 at 4130 La Jolla Village Dr Ste 103, La Jolla, California or can call on customer care at 858-352-2242.

    Comments/ Reviews:


    *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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