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WALGREEN CO
NPI 1164437133
Pharmacy in Oklahoma City, OK

Active since July 29, 2006CLIA 37D2230801 · Waiver
2835 SW 29TH ST, OKLAHOMA CITY, OK 73119(405) 631-9294 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1164437133), doing business as Walgreens #04011, is a healthcare organization registered as a pharmacy in Oklahoma City, Oklahoma and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1164437133
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address2835 SW 29TH STOklahoma City, OK 73119-1701
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Phone(405) 631-9294
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJuly 29, 2006
Last NPPES UpdateJune 17, 2025
NPPES CertifiedJune 17, 2025
✔ NPI 1164437133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in OK · 1-4111
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
2835 SW 29TH ST, Oklahoma City, OK 73119
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Other Names 1

Doing Business AsWalgreens #04011

Other Identifiers 3

Other3720908Other Id Number-commercial Number
Medicaid100244670AOK
Medicaid100796840A DMEOK

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 37D2230801

Walgreens #04011 · Oklahoma City, OK
Active · expires Jul 27, 2027
CLIA Number37D2230801
Laboratory TypePharmacy
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorKristy K. Schmidt
Laboratory Phone(405) 631-9294
Laboratory LocationWalgreens #040112835 SW 29th St, Oklahoma City, OK 73119
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

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.
18 services18 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #4011 carries, from the Medicare DMEPOS supplier directory.

Walgreens #4011

DMEPOS supplier · Oklahoma City, OKOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #4011 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)20391161
Medicare Participant SinceMarch 1, 2022
Supplier Location2835 SW 29th StOklahoma City, OK 73119
Phone(405) 631-9294
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.

NATHAN BEATTIE PHARMD
Pharmacist
2835 SW 29TH ST
OKLAHOMA CITY, OK 73119
Oklahoma County (405) 631-9294
BRIAN ROGERS
Pharmacist
2835 SW 29TH ST
OKLAHOMA CITY, OK 73119
Oklahoma County (405) 631-9294
MR. TERRY BROWN
Pharmacist
2835 SW 29TH ST
OKLAHOMA CITY, OK 73119
Oklahoma County (405) 631-9294
KRISTY K SCHMIDT PHARMD
Pharmacist
2835 SW 29TH ST
OKLAHOMA CITY, OK 73119
Oklahoma County (405) 631-9294

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 1164437133. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #04011.

Where is Walgreen Co located?

Walgreen Co is located at 2835 SW 29th St, Oklahoma City, OK 73119. The listed phone number is (405) 631-9294.

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 #4011 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 37D2230801) is associated with this NPI, valid through July 27, 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 43 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 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.