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WALGREEN CO
NPI 1174874267
Pharmacy in Madison, AL

Active since September 28, 2012CLIA 01D2216499 · Waiver
12010 COUNTY LINE RD, MADISON, AL 35756(256) 230-6345(256) 230-6799 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2026, Aug 7, 2025, Apr 13, 2022 and 1 more (4 updates tracked since 2016).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1174874267), doing business as Walgreens #13793, is a healthcare organization registered as a pharmacy in Madison, Alabama and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through March 11, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1174874267
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address12010 COUNTY LINE RDMadison, AL 35756-2000
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Phone(256) 230-6345
Fax(256) 230-6799
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateSeptember 28, 2012
Last NPPES UpdateJune 3, 20264 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1174874267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in AL · 113988
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
12010 COUNTY LINE RD, Madison, AL 35756
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Other Names 1

Doing Business AsWalgreens #13793

Other Identifiers 2

Other0138203AL · Ncpdp
Medicaid1174874267AL

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 01D2216499

Walgreens #13793 · Madison, AL
Active · expires Mar 11, 2027
CLIA Number01D2216499
Laboratory TypePharmacy
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorLindsay A. Crockett
Laboratory Phone(256) 230-6345
Laboratory LocationWalgreens #1379312010 County Line Road, Madison, AL 35756
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 # 13793 carries, from the Medicare DMEPOS supplier directory.

Walgreens # 13793

DMEPOS supplier · Madison, ALOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens # 13793 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)20384519
Medicare Participant SinceMarch 1, 2022
Supplier Location12010 County Line RdMadison, AL 35756
Phone(256) 230-6345
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 6

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

AYAH ABU-SPETANI
Pharmacist
12010 COUNTY LINE RD
MADISON, AL 35756
Limestone County (256) 230-6345
DR. NANCI CASTILLO PHARMD
Pharmacist
12010 COUNTY LINE RD
MADISON, AL 35756
Limestone County (910) 230-6345
ENOCH CHIA HAN KO
Pharmacist
12010 COUNTY LINE RD, APT 1208
MADISON, AL 35756
Limestone County (256) 230-6345
DR. MATTHEW WINDHAM KERR PHARMD
Pharmacist
12010 COUNTY LINE RD
MADISON, AL 35756
Limestone County (256) 230-6345
TINA TARSITANO RPH
Pharmacist
12010 COUNTY LINE RD
MADISON, AL 35756
Limestone County (256) 230-6345
SARAH PEARCE
Pharmacist
12010 COUNTY LINE RD
MADISON, AL 35756
Limestone County (256) 230-6345

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 1174874267. It was assigned to this organization in the NPPES registry on September 28, 2012. The provider is doing business as Walgreens #13793.

Where is Walgreen Co located?

Walgreen Co is located at 12010 County Line Rd, Madison, AL 35756. The listed phone number is (256) 230-6345.

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 # 13793 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 01D2216499) is associated with this NPI, valid through March 11, 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 June 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.