Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WALGREEN CO.
NPI 1164821070
Pharmacy in Matawan, NJ

Q: What is Walgreen Co.'s NPI number?

The NPI number for Walgreen Co. is 1164821070. It was assigned to this organization in the NPPES registry on August 15, 2014. The provider is doing business as Walgreens #15186.

Q: What is Walgreen Co.'s specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co. was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.

Active since August 15, 2014CLIA 31D2219642 · Waiver

339 MATAWAN RD, MATAWAN, NJ 07747(732) 705-9254(732) 705-9811 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 25, 2026, Apr 26, 2022, Jul 24, 2019 and 2 more (5 updates tracked since 2016).

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About Walgreen Co. NPPES

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

WALGREEN CO. (NPI 1164821070), doing business as Walgreens #15186, is a healthcare organization registered as a pharmacy in Matawan, New Jersey and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through April 6, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1164821070

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO.

Location Address339 MATAWAN RDMatawan, NJ 07747-3901

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(732) 705-9254

Fax(732) 705-9811

Organization SubpartYesParent: Walgreens Holding Company

Authorized OfficialKira TaylorManager · (217) 709-2351

Enumeration DateAugust 15, 2014

Last NPPES UpdateAugust 25, 20265 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1164821070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NJ · 28RS00736600

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

339 MATAWAN RD, Matawan, NJ 07747

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Other Names 1

Doing Business AsWalgreens #15186

Other Identifiers 2

Other3148865NJ · Ncpdp

Medicaid0451797NJ

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 31D2219642

Walgreens #15186 · Matawan, NJ

Active · expires Apr 6, 2027

CLIA Number31D2219642

Laboratory TypePharmacy

Certificate Effective DateApril 7, 2025

Certificate Expiration DateApril 6, 2027

Laboratory DirectorScott Mylroie

Laboratory Phone(732) 705-9254

Laboratory LocationWalgreens #15186339 Matawan Road, Matawan, NJ 07747

CLIA data matches this NPI record on: Address 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 Walgreens #15186 carries, from the Medicare DMEPOS supplier directory.

Walgreens #15186

DMEPOS supplier · Matawan, NJOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #15186 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)20387855

Medicare Participant SinceMarch 1, 2022

Supplier Location339 Matawan RdMatawan, NJ 07747

Phone(732) 705-9254

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

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

DAVID CHUNG MAN YIM

Pharmacist

339 MATAWAN RD
MATAWAN, NJ 07747

Monmouth County (732) 705-9254

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 1164821070. It was assigned to this organization in the NPPES registry on August 15, 2014. The provider is doing business as Walgreens #15186.

Where is Walgreen Co. located?

Walgreen Co. is located at 339 Matawan Rd, Matawan, NJ 07747. The listed phone number is (732) 705-9254.

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 #15186 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 31D2219642) is associated with this NPI, valid through April 6, 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 39 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 August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.