Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WALGREEN CO
NPI 1073539664
Pharmacy in Newark, DE

Active since July 15, 2006CLIA Certified · 3 labs
15 UNIVERSITY PLZ, NEWARK, DE 19702(302) 737-6400(302) 737-5235 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, Oct 30, 2023, Nov 8, 2018 and 1 more (4 updates tracked since 2018).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1073539664), doing business as Walgreens #11003, is a healthcare organization registered as a pharmacy in Newark, Delaware and active in the NPI registry since July 2006. The organization holds 3 active CLIA laboratory certificates and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1073539664
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address15 UNIVERSITY PLZNewark, DE 19702-1549
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Fax(302) 737-5235
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJuly 15, 2006
Last NPPES UpdateAugust 7, 20264 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
NPI 1073539664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in DE · A3-0000812
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
15 UNIVERSITY PLZ, Newark, DE 19702

Other Names 1

Doing Business AsWalgreens #11003

Other Identifiers 3

Medicaid0000052507DE
Other0800892Ncpdp
Medicaid200050992DE

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 08D2038566

Walgreens #11003 · Newark, DE
Active · expires Aug 22, 2027
CLIA Number08D2038566
Laboratory TypePharmacy
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorAlyssa M. Charboneau
Laboratory Phone(302) 737-6400
Laboratory LocationWalgreens #1100315 University Plaza, Newark, DE 19702
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 08D1041246

Walgreens # 11050 · Newark, DE
Active · expires Aug 29, 2027
CLIA Number08D1041246
Laboratory TypePharmacy
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorMark Eisele
Laboratory Phone(302) 631-1900
Laboratory LocationWalgreens # 11050500 Plaza Drive, Newark, DE 19702
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 08D2038560

Walgreens #11048 · Newark, DE
Active · expires Aug 22, 2027
CLIA Number08D2038560
Laboratory TypePharmacy
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorGeorge Fountzoulas
Laboratory Phone(302) 453-4800
Laboratory LocationWalgreens #110482719 Pulaski Highway, Newark, DE 19702
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #11003 carries, from the Medicare DMEPOS supplier directory.

Walgreens #11003

DMEPOS supplier · Newark, DEOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #11003 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)20383817
Medicare Participant SinceMarch 1, 2022
Supplier Location15 University PlazaNewark, DE 19702
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 7

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

Pharmacist
15 UNIVERSITY PLZ
NEWARK, DE 19702
Pharmacist
15 UNIVERSITY PLZ
NEWARK, DE 19702
Pharmacist
15 UNIVERSITY PLZ
NEWARK, DE 19702
Pharmacist
15 UNIVERSITY PLZ
NEWARK, DE 19702
Pharmacist
15 UNIVERSITY PLZ
NEWARK, DE 19702
Pharmacist
15 UNIVERSITY PLZ
NEWARK, DE 19702
Pharmacist
15 UNIVERSITY PLZ
NEWARK, DE 19702

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 1073539664. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as Walgreens #11003.

Where is Walgreen Co located?

Walgreen Co is located at 15 University Plz, Newark, DE 19702. The listed phone number is (302) 737-6400.

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 #11003 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 39 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 August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.