WALGREEN CO
NPI 1124379367
Pharmacy in Toa Alta, PR

Active since September 27, 2012CLIA 40D2255663 · Waiver
CARR PR 167 KM 14.6, PLAZA LOS PALACIOS, TOA ALTA, PR 00953(787) 545-3191(787) 545-3197 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2025, Apr 26, 2022, Sep 18, 2019 and 3 more (6 updates tracked since 2016).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1124379367), doing business as Walgreens #15132, is a healthcare organization registered as a pharmacy in Toa Alta, Puerto Rico and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through March 15, 2028, maintains a secondary practice location in Toa Alta, and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1124379367
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location AddressCARR PR 167 KM 14.6, PLAZA LOS PALACIOSToa Alta, PR 00953
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Fax(787) 545-3197
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateSeptember 27, 2012
Last NPPES UpdateMarch 28, 20256 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
NPI 1124379367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in PR · F-3083
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

Other Names 1

Doing Business AsWalgreens #15132

Secondary Practice Location 1

Location 1Carretera PR 167 KM 14.6 Barrio Ortiz, Plaza Los PalaciosToa Alta, PR 00953 · Phone (787) 545-3191

Other Identifiers 1

Other4028305PR · Ncpdp

Accepted 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 40D2255663

Walgreens # 15132 · Toa Alta, PR
Active · expires Mar 15, 2028
CLIA Number40D2255663
Laboratory TypePharmacy
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorCelines Rodriguez
Laboratory Phone(787) 545-3191
Laboratory LocationWalgreens # 151321900 Carr 167 Ste 1, Toa Alta, PR 00953
CLIA data matches this NPI record on: 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 · Toa Alta, PR

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)20384579
Medicare Participant SinceMarch 1, 2022
Supplier LocationCarr Pr 167 Km 14.6 Plaza Los PalaciosToa Alta, PR 00953
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.

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 1124379367. It was assigned to this organization in the NPPES registry on September 27, 2012. The provider is doing business as Walgreens #15132.

Where is Walgreen Co located?

Walgreen Co is located at Carr Pr 167 Km 14.6 Plaza Los Palacios, Toa Alta, PR 00953. The listed phone number is (787) 545-3191.

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, 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 40D2255663) is associated with this NPI, valid through March 15, 2028. 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 37 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 March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.