WALGREEN CO
NPI 1154336493
Pharmacy - Community/Retail Pharmacy in Westminster, CO

Active since July 29, 2006CLIA 06D2012936 · Waiver
5190 W 120TH AVE, WESTMINSTER, CO 80020(303) 410-1105 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 17, 2025, Jan 3, 2019, Oct 19, 2016 (3 updates tracked since 2016).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1154336493), doing business as Walgreens #04025, is a healthcare organization registered as a community/retail pharmacy in Westminster, Colorado and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1154336493
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREEN CO
Location Address5190 W 120TH AVEWestminster, CO 80020-3332
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJuly 29, 2006
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1154336493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X · License 1270000032 (CO)
5190 W 120TH AVE, Westminster, CO 80020

Other Names 1

Doing Business AsWalgreens #04025

Other Identifiers 2

Other0615332Other Id Number-commercial Number
Medicaid3003514CO

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 06D2012936

Walgreens #04025 · Westminster, CO
Active · expires Feb 22, 2027
CLIA Number06D2012936
Laboratory TypePharmacy
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorGeorge Litsas
Laboratory Phone(303) 410-1105
Laboratory LocationWalgreens #040255190 W 120th Ave, Westminster, CO 80020
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
165 services164 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.
140 services140 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.
20 services20 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.
18 services18 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20392145
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Other Providers at the Same Location NPPES 10

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

Pharmacist
5190 W 120TH AVE
WESTMINSTER, CO 80020
Nurse Practitioner (Family)
5190 W 120TH AVE
BROOMFIELD, CO 80020
Pharmacist
5190 W 120TH AVE
BROOMFIELD, CO 80020
Physician Assistant (Medical)
5190 W 120TH AVE
BROOMFIELD, CO 80020
Pharmacist
5190 W 120TH AVE
BROOMFIELD, CO 80020
Pharmacist
5190 W 120TH AVE
BROOMFIELD, CO 80020
Pharmacist
5190 W 120TH AVE
WESTMINSTER, CO 80020
Clinical Medical Laboratory
5190 W 120TH AVE
WESTMINSTER, CO 80020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154336493, enumerated as an "organization" on July 29, 2006.

The provider is located at 5190 W 120TH AVE WESTMINSTER, CO 80020 and the phone number is (303) 410-1105.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.