WALGREENS #15439
NPI 1093052342
Pharmacy - Community/Retail Pharmacy in Cloquet, MN

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1093052342. It was assigned to this organization in the NPPES registry on January 7, 2013. The provider is doing business as Walgreens #15439.

Q: What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since January 07, 2013CLIA 24D2058869 · Waiver

215 DODDRIDGE AVE, CLOQUET, MN 55720(218) 879-0091(218) 879-0105 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2024, Apr 28, 2022, Jan 15, 2016 (3 updates tracked since 2016).

On this page

About Walgreens #15439 NPPES

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

WALGREENS #15439 (NPI 1093052342) is a healthcare organization registered as a community/retail pharmacy in Cloquet, Minnesota and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1093052342

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWALGREEN CO

Location Address215 DODDRIDGE AVECloquet, MN 55720-2372

Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344

Phone(218) 879-0091

Fax(218) 879-0105

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialJennifer PonceManager · (847) 527-2489

Enumeration DateJanuary 7, 2013

Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration

NPPES CertifiedOctober 9, 2024

✔ NPI 1093052342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MN · 264054

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

215 DODDRIDGE AVE, Cloquet, MN 55720

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Other Names 1

Doing Business AsWalgreens #15439

Other Identifiers 2

Other2431752MN · Ncpdp

Medicaid1093052342MN

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 ›

CLIA Laboratory Certificates CMS CLIA

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 24D2058869

Walgreens #15439 · Cloquet, MN

Active · expires Mar 23, 2027

CLIA Number24D2058869

Laboratory TypePharmacy

Certificate Effective DateMarch 24, 2025

Certificate Expiration DateMarch 23, 2027

Laboratory DirectorAshley Tollefson

Laboratory Phone(218) 879-0091

Laboratory LocationWalgreens #15439215 Doddridge Ave, Cloquet, MN 55720

CLIA data matches this NPI record on: Address Name Phone

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 Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · Cloquet, MN

✔

Accepts Medicare assignment

Walgreen Co 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)20384651

Medicare Participant SinceMarch 1, 2022

Supplier Location215 Doddridge AveCloquet, MN 55720

Phone(218) 879-0091

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 2

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

ASHLEY MAXINE TOLLEFSON

Pharmacist

215 DODDRIDGE AVE
CLOQUET, MN 55720

Carlton County (218) 879-0091

MS. CINDY DOE RPH

Pharmacist

215 DODDRIDGE AVE
CLOQUET, MN 55720

Carlton County (218) 879-0091

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 1093052342. It was assigned to this organization in the NPPES registry on January 7, 2013. The provider is doing business as Walgreens #15439.

Where is Walgreen Co located?

Walgreen Co is located at 215 Doddridge Ave, Cloquet, MN 55720. The listed phone number is (218) 879-0091.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walgreen Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreen Co accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2058869) is associated with this NPI, valid through March 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 40 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 October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.