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WALGREEN
NPI 1083996896
Point of Service in Pontiac, MI

Active since September 16, 2011
690 MATRIN LUTHER KING BLVD N, PONTIAC, MI 48342(248) 745-8495(248) 745-8367 Get Directions Write a Review

NPPES record last updated: September 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walgreen NPPES

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

WALGREEN (NPI 1083996896) is a healthcare organization registered as a point of service in Pontiac, Michigan and active in the NPI registry since September 2011. The organization lists Neil Brown, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1083996896
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameWALGREEN
Location Address690 MATRIN LUTHER KING BLVD NPontiac, MI 48342-1626
Mailing Address690 Matrin Luther Kings Blvd NorthPontiac, MI 48342-1626 · (248) 745-8495 · Fax (248) 745-8367
Phone(248) 745-8495
Fax(248) 745-8367
Organization SubpartNo
Authorized OfficialNeil BrownPharmacist · (248) 745-8495
Enumeration DateSeptember 16, 2011
✔ NPI 1083996896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in MI · 5302017458
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
690 MATRIN LUTHER KING BLVD N, Pontiac, MI 48342
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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's NPI number?

The NPI number for Walgreen is 1083996896. It was assigned to this organization in the NPPES registry on September 16, 2011.

Where is Walgreen located?

Walgreen is located at 690 Matrin Luther King Blvd N, Pontiac, MI 48342. The listed phone number is (248) 745-8495.

What is Walgreen's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Walgreen was last updated on September 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.