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WALGREEN CO
NPI 1053655951
Pharmacy in Portland, OR

Active since November 15, 2012
9855 SW CAPITOL HWY, PORTLAND, OR 97219(503) 245-4690(503) 245-4708 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2025, Apr 26, 2022, Mar 23, 2021 and 2 more (5 updates tracked since 2016).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1053655951), doing business as Walgreens #15154, is a healthcare organization registered as a pharmacy in Portland, Oregon and active in the NPI registry since November 2012. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1053655951
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address9855 SW CAPITOL HWYPortland, OR 97219
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Phone(503) 245-4690
Fax(503) 245-4708
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateNovember 15, 2012
Last NPPES UpdateMarch 28, 20255 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1053655951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in OR · RP-0002759
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
9855 SW CAPITOL HWY, Portland, OR 97219
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Other Names 1

Doing Business AsWalgreens #15154

Other Identifiers 2

Medicaid500652686OR
Other3844481OR · Ncpdp

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 ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #15154 carries, from the Medicare DMEPOS supplier directory.

Walgreens #15154

DMEPOS supplier · Portland, OROperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #15154 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)20384585
Medicare Participant SinceMarch 1, 2022
Supplier Location9855 SW Capitol HwyPortland, OR 97219
Phone(503) 245-4690
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 3

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

HANIFA HA PHARMD
Pharmacist
9855 SW CAPITOL HWY
PORTLAND, OR 97219
Multnomah County (503) 245-4690
REEM MOUNTASER
Pharmacist
9855 SW CAPITOL HWY
97219, OR 97219
Multnomah County (503) 245-4690
JENNY MAILA YANG PHARM.D
Pharmacist
9855 SW CAPITOL HWY
PORTLAND, OR 97219
Multnomah County (503) 245-4690

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 1053655951. It was assigned to this organization in the NPPES registry on November 15, 2012. The provider is doing business as Walgreens #15154.

Where is Walgreen Co located?

Walgreen Co is located at 9855 SW Capitol Hwy, Portland, OR 97219. The listed phone number is (503) 245-4690.

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 #15154 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 38 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 March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.