WALGREEN CO
NPI 1124211065
Pharmacy in Copperas Cove, TX

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1124211065. It was assigned to this organization in the NPPES registry on August 23, 2007. The provider is doing business as Walgreens #11273.

Q: What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 August 23, 2007CLIA 45D2216167 · Waiver

527 E BUSINESS 190, COPPERAS COVE, TX 76522(254) 547-1630(254) 547-7246 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2025, Feb 28, 2023, May 22, 2019 and 3 more (6 updates tracked since 2016).

On this page

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1124211065), doing business as Walgreens #11273, is a healthcare organization registered as a pharmacy in Copperas Cove, Texas and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through March 9, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1124211065

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address527 E BUSINESS 190Copperas Cove, TX 76522-2915

Mailing Address1901 E Voorhees St # 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344

Phone(254) 547-1630

Fax(254) 547-7246

Organization SubpartYesParent: Walgreens Boots Alliance

Authorized OfficialJennifer PonceManager · (847) 527-2489

Enumeration DateAugust 23, 2007

Last NPPES UpdateJune 25, 20256 updates tracked since enumeration

NPPES CertifiedJune 25, 2025

✔ NPI 1124211065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in TX · 25712

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 ListedClinical Medical LaboratoryTaxonomy 291U00000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

527 E BUSINESS 190, Copperas Cove, TX 76522

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Other Names 1

Doing Business AsWalgreens #11273

Other Identifiers 3

Other4545779Ncpdp

Medicaid469329TX

Medicaid466434TX

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 45D2216167

Walgreens #11273 · Copperas Cove, TX

Active · expires Mar 9, 2027

CLIA Number45D2216167

Laboratory TypePharmacy

Certificate Effective DateMarch 10, 2025

Certificate Expiration DateMarch 9, 2027

Laboratory DirectorAimee Lusson

Laboratory Phone(254) 547-1630

Laboratory LocationWalgreens #11273527 E Highway 190, Copperas Cove, TX 76522

CLIA data matches this NPI record on: Name Phone

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.

177 services176 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.

115 services115 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.

45 services45 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.

16 services16 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.

16 services16 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #11273 carries, from the Medicare DMEPOS supplier directory.

Walgreens #11273

DMEPOS supplier · Copperas Cove, TXOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #11273 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)20376185

Medicare Participant SinceMarch 1, 2022

Supplier Location527 E Business 190Copperas Cove, TX 76522

Phone(254) 547-1630

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.

DR. KENDALL ELISE BLACKWELL PHARMD, RPH

Pharmacist

527 E BUSINESS 190
COPPERAS COVE, TX 76522

Coryell County (545) 471-6302

DR. JORDON GREENE PHARMD

Pharmacist

527 E BUSINESS 190
COPPERAS COVE, TX 76522

Coryell County (254) 527-1630

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 1124211065. It was assigned to this organization in the NPPES registry on August 23, 2007. The provider is doing business as Walgreens #11273.

Where is Walgreen Co located?

Walgreen Co is located at 527 E Business 190, Copperas Cove, TX 76522. The listed phone number is (254) 547-1630.

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 #11273 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 45D2216167) is associated with this NPI, valid through March 9, 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 46 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 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.