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WALGREENS SPECIALTY PHARMACY #16403
NPI 1124391644
Pharmacy in Seattle, WA

Active since February 14, 2012
1409 11TH AVE, SEATTLE, WA 98122(206) 324-2335(206) 324-2274 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 20, 2024, May 6, 2022, Mar 1, 2021 and 5 more (8 updates tracked since 2016).

About Walgreens Specialty Pharmacy #16403 NPPES

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

WALGREENS SPECIALTY PHARMACY #16403 (NPI 1124391644) is a healthcare organization registered as a pharmacy in Seattle, Washington and active in the NPI registry since February 2012. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1124391644
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1409 11TH AVESeattle, WA 98122-3901
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Phone(206) 324-2335
Fax(206) 324-2274
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateFebruary 14, 2012
Last NPPES UpdateNovember 26, 20248 updates tracked since enumeration
NPPES CertifiedNovember 26, 2024
✔ NPI 1124391644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in WA · CF60630669
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
1409 11TH AVE, Seattle, WA 98122
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Other Names 1

Doing Business AsWalgreens Specialty Pharmacy #16403

Other Identifiers 6

Medicaid1044372WA
Medicaid1124391644UT
Medicaid1124391644MT
Medicaid1029083AK
Medicaid1124391644ID
Other4934457WA · Ncpdp

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 ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Community Walgreens Pharmacy 16403 carries, from the Medicare DMEPOS supplier directory.

Community Walgreens Pharmacy 16403

DMEPOS supplier · Seattle, WAOperated by Walgreen Co
✔

Accepts Medicare assignment

Community Walgreens Pharmacy 16403 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)20388767
Medicare Participant SinceMarch 1, 2022
Supplier Location1409 11th AveSeattle, WA 98122
Phone(206) 324-2335
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 4

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

DAVID FOX
Student in an Organized Health Care Education/Training Program
1409 11TH AVE
SEATTLE, WA 98122
King County (206) 324-2335
QIANWEI CAI
Pharmacist
1409 11TH AVE
SEATTLE, WA 98122
King County (206) 324-2335
DAMARIS GAIL CABIAO PHARMD
Pharmacist
1409 11TH AVE
SEATTLE, WA 98122
King County (206) 324-2335
DR. HYERAN LEE PHARMD
Pharmacist
1409 11TH AVE
SEATTLE, WA 98122
King County (206) 324-2335

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 1124391644. It was assigned to this organization in the NPPES registry on February 14, 2012. The provider is doing business as Walgreens Specialty Pharmacy #16403.

Where is Walgreen Co located?

Walgreen Co is located at 1409 11th Ave, Seattle, WA 98122. The listed phone number is (206) 324-2335.

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 16403 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 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 November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.