WALGREEN CO
NPI 1114934148
Pharmacy in Niles, IL

Active since August 02, 2006CLIA Certified · 3 labs
9000 N GREENWOOD AVE, NILES, IL 60714(847) 298-3050(847) 298-2276 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, Nov 3, 2023, Mar 2, 2022 and 2 more (5 updates tracked since 2016).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1114934148), doing business as Walgreens #02721, is a healthcare organization registered as a pharmacy in Niles, Illinois and active in the NPI registry since August 2006. The organization holds 3 active CLIA laboratory certificates and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1114934148
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address9000 N GREENWOOD AVENiles, IL 60714-1408
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Fax(847) 298-2276
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateAugust 2, 2006
Last NPPES UpdateSeptember 8, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
NPI 1114934148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in IL · 54003749
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
9000 N GREENWOOD AVE, Niles, IL 60714

Other Names 1

Doing Business AsWalgreens #02721

Other Identifiers 2

Other1403120Other Id Number-commercial Number
Medicaid362127039791IL

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 14D2014559

Walgreens # 02721 · Niles, IL
Active · expires Sep 13, 2027
CLIA Number14D2014559
Laboratory TypePharmacy
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorParth J. Patel
Laboratory Phone(847) 298-3050
Laboratory LocationWalgreens # 027219000 N Greenwood Ave, Niles, IL 60714
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2049145

Walgreens #05542 · Niles, IL
Active · expires May 11, 2027
CLIA Number14D2049145
Laboratory TypePharmacy
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorTara A. Cisneros
Laboratory Phone(847) 583-0409
Laboratory LocationWalgreens #055428001 N Milwaukee Ave, Niles, IL 60714
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2049915

Walgreens #05282 · Niles, IL
Active · expires Apr 15, 2027
CLIA Number14D2049915
Laboratory TypePharmacy
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorChristopher J. Wilczek
Laboratory Phone(847) 588-1704
Laboratory LocationWalgreens #052825600 W Touhy Ave, Niles, IL 60714
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
258 services258 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.
151 services151 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.
99 services99 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
36 services36 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
36 services36 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #2721 carries, from the Medicare DMEPOS supplier directory.

Walgreens #2721

DMEPOS supplier · Niles, ILOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #2721 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)20396195
Medicare Participant SinceMarch 1, 2022
Supplier Location9000 N Greenwood AveNiles, IL 60714
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 11

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

Pharmacist
9000 N GREENWOOD AVE
NILES, IL 60714
Pharmacist
9000 N GREENWOOD AVE
NILES, IL 60714
Pharmacist
9000 N GREENWOOD AVE
NILES, IL 60714
Pharmacist
9000 N GREENWOOD AVE
NILES, IL 60714
Pharmacist
9000 N GREENWOOD AVE
NILES, IL 60714
Pharmacist
9000 N GREENWOOD AVE
NILES, IL 60714
Pharmacist
9000 N GREENWOOD AVE
NILES, IL 60714
Pharmacist
9000 N GREENWOOD AVE
NILES, IL 60714

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 1114934148. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Walgreens #02721.

Where is Walgreen Co located?

Walgreen Co is located at 9000 N Greenwood Ave, Niles, IL 60714. The listed phone number is (847) 298-3050.

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 #2721 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 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 September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.