WALGREEN CO
NPI 1063939866
Pharmacy in Bronx, NY

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1063939866. It was assigned to this organization in the NPPES registry on August 23, 2017. The provider is doing business as Walgreens #17665.

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 June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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 August 23, 2017

3480 JEROME AVE, BRONX, NY 10467(718) 231-2609(718) 881-3089 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2022, Aug 1, 2019, Jul 24, 2018 and 3 more (6 updates tracked since 2017).

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About Walgreen Co NPPES

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

WALGREEN CO (NPI 1063939866), doing business as Walgreens #17665, is a healthcare organization registered as a pharmacy in Bronx, New York and active in the NPI registry since August 2017. The organization lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1063939866

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address3480 JEROME AVEBronx, NY 10467-1002

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

Phone(718) 231-2609

Fax(718) 881-3089

Organization SubpartYesParent: Walgreens Holding Company

Authorized OfficialKira TaylorManager · (217) 709-2351

Enumeration DateAugust 23, 2017

Last NPPES UpdateJune 23, 20266 updates tracked since enumeration

NPPES CertifiedJune 23, 2026

✔ NPI 1063939866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NY · 036363

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

3480 JEROME AVE, Bronx, NY 10467

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Other Names 1

Doing Business AsWalgreens #17665

Other Identifiers 2

Medicaid05072871NY

Other5824215NY · 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 ›

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

30 services30 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

14 services14 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 7

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

Walgreens

DMEPOS supplier · Bronx, NYOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens 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)20381591

Medicare Participant SinceMarch 1, 2022

Supplier Location3480 Jerome AveBronx, NY 10467

Phone(718) 231-2609

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.

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Other Providers at the Same Location NPPES 7

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

CYPRIANE TATI AWUNG

Pharmacist