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WALGREENS #17879
NPI 1124543913
Pharmacy in Old Bridge, NJ

Active since August 14, 2017
3891 ROUTE 516, OLD BRIDGE, NJ 08857(732) 607-7510(732) 607-7516 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2019, Jun 15, 2018, May 1, 2018 and 2 more (5 updates tracked since 2017).

About Walgreens #17879 NPPES

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

WALGREENS #17879 (NPI 1124543913) is a healthcare organization registered as a pharmacy in Old Bridge, New Jersey and active in the NPI registry since August 2017. The organization lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1124543913
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3891 ROUTE 516Old Bridge, NJ 08857-2499
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(732) 607-7510
Fax(732) 607-7516
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateAugust 14, 2017
Last NPPES UpdateSeptember 27, 20195 updates tracked since enumeration
✔ NPI 1124543913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NJ · 28RS00608700
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
3891 ROUTE 516, Old Bridge, NJ 08857
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Other Names 1

Doing Business AsWalgreens #17879

Other Identifiers 2

Other3154111NJ · Ncpdp
Medicaid0610232NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

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.

ARTHUR GEDAL
Pharmacist
3891 ROUTE 516
OLD BRIDGE, NJ 08857
Middlesex County (732) 607-7510
WALGREEN CO
Durable Medical Equipment & Medical Supplies
3891 ROUTE 516
OLD BRIDGE, NJ 08857
Middlesex County (732) 607-7510
LIONEL DECRUZ RPH
Pharmacist
3891 ROUTE 516
OLD BRIDGE, NJ 08857
Middlesex County (732) 607-7510
JINAL PATEL
Pharmacist
3891 ROUTE 516
OLD BRIDGE, NJ 08857
Middlesex County (732) 607-7510

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 1124543913. It was assigned to this organization in the NPPES registry on August 14, 2017. The provider is doing business as Walgreens #17879.

Where is Walgreen Co located?

Walgreen Co is located at 3891 Route 516, Old Bridge, NJ 08857. The listed phone number is (732) 607-7510.

What is Walgreen Co's specialty?

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

What insurance does Walgreen Co accept?

Health plans from Medica and Moda Health Plan, Inc. 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 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.