WALGREENS #15829
NPI 1053667097
Pharmacy in Camden, NJ

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1053667097. It was assigned to this organization in the NPPES registry on July 27, 2012. The provider is doing business as Walgreens #15829.

Q: What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since July 27, 2012

2626 FEDERAL ST, CAMDEN, NJ 08105(856) 963-0300(856) 963-2202 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2022, Dec 6, 2019, Jul 22, 2019 and 4 more (7 updates tracked since 2016).

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About Walgreens #15829 NPPES

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

WALGREENS #15829 (NPI 1053667097) is a healthcare organization registered as a pharmacy in Camden, New Jersey and active in the NPI registry since July 2012. The organization lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1053667097

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address2626 FEDERAL STCamden, NJ 08105-1936

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(856) 963-0300

Fax(856) 963-2202

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira TaylorManager · (217) 709-2351

Enumeration DateJuly 27, 2012

Last NPPES UpdateMay 3, 20227 updates tracked since enumeration

NPPES CertifiedMay 3, 2022

✔ NPI 1053667097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NJ · 28RS00693000

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

2626 FEDERAL ST, Camden, NJ 08105

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Other Names 1

Doing Business AsWalgreens #15829

Other Identifiers 2

Medicaid0571393NJ

Other3199002NJ · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 9

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

PAUL DANIEL MCISAAC PHARMD.

Pharmacist