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 1114290590
Pharmacy in Memphis, TN

Active since February 16, 2012
1424 UNION AVE, MEMPHIS, TN 38104(901) 725-7828(901) 725-7920 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2024, Apr 27, 2022, Nov 2, 2020 and 1 more (4 updates tracked since 2015).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1114290590), doing business as Walgreens Specialty Pharmacy #15317, is a healthcare organization registered as a pharmacy in Memphis, Tennessee and active in the NPI registry since February 2012. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1114290590
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1424 UNION AVEMemphis, TN 38104-3625
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Fax(901) 725-7920
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateFebruary 16, 2012
Last NPPES UpdateJune 15, 20264 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
NPI 1114290590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in TN · 3228
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
1424 UNION AVE, Memphis, TN 38104

Other Names 1

Doing Business AsWalgreens Specialty Pharmacy #15317

Other Identifiers 3

Medicaid7100699070KY
Medicaid00330716MS
Other4444876TN · Ncpdp

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Community Walgreens Pharmacy 15317 carries, from the Medicare DMEPOS supplier directory.

Community Walgreens Pharmacy 15317

DMEPOS supplier · Memphis, TNOperated by Walgreen Co

Accepts Medicare assignment

Community Walgreens Pharmacy 15317 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)20388923
Medicare Participant SinceMarch 1, 2022
Supplier Location1424 Union AveMemphis, TN 38104
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
1424 UNION AVE
MEMPHIS, TN 38104
Pharmacy (Community/Retail Pharmacy)
1424 UNION AVE
MEMPHIS, TN 38104
Pharmacist
1424 UNION AVE
MEMPHIS, TN 38104
Pharmacist
1424 UNION AVE
MEMPHIS, TN 38104
Pharmacist
1424 UNION AVE
MEMPHIS, TN 38104
Pharmacist
1424 UNION AVE
MEMPHIS, TN 38104
Pharmacist
1424 UNION AVE
MEMPHIS, TN 38104

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 1114290590. It was assigned to this organization in the NPPES registry on February 16, 2012. The provider is doing business as Walgreens Specialty Pharmacy #15317.

Where is Walgreen Co located?

Walgreen Co is located at 1424 Union Ave, Memphis, TN 38104. The listed phone number is (901) 725-7828.

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, Community Walgreens Pharmacy 15317 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 42 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 June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 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.