WALGREEN CO
NPI 1205352267
Pharmacy in Cortland, NY

Active since August 21, 2017CLIA Certified · 2 labs
170 PORT WATSON ST, CORTLAND, NY 13045(607) 756-7591(607) 758-7445 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2022, Sep 27, 2019, Jul 23, 2018 and 3 more (6 updates tracked since 2017).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1205352267), doing business as Walgreens #17204, is a healthcare organization registered as a pharmacy in Cortland, New York and active in the NPI registry since August 2017. The organization holds 2 active CLIA laboratory certificates and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1205352267
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address170 PORT WATSON STCortland, NY 13045-3125
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(607) 758-7445
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 21, 2017
Last NPPES UpdateJune 17, 20266 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
NPI 1205352267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in NY · 036249
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
170 PORT WATSON ST, Cortland, NY 13045

Other Names 1

Doing Business AsWalgreens #17204

Other Identifiers 2

Other5822867NY · Ncpdp
Medicaid05020439NY

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 33D2237924

Walgreens No 17204 · Cortland, NY
Active · expires Mar 26, 2027
CLIA Number33D2237924
Laboratory TypePharmacy
Certificate Effective DateSeptember 29, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Zeiad A. Fakhouri
Laboratory Phone(607) 756-7591
Laboratory LocationWalgreens No 17204170 Port Watson St, Cortland, NY 13045
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2219748

Walgreens #10158 · Cortland, NY
Active · expires Mar 26, 2027
CLIA Number33D2219748
Laboratory TypePharmacy
Certificate Effective DateApril 7, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Zeiad Fakhouri
Laboratory Phone(607) 746-8489
Laboratory LocationWalgreens #101583948 State Route 281, Cortland, NY 13045
CLIA data matches this NPI record on: Name
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 Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · Cortland, NY

Accepts Medicare assignment

Walgreen Co 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)20380151
Medicare Participant SinceMarch 1, 2022
Supplier Location170 Port Watson StCortland, NY 13045
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 7

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

Pharmacist
170 PORT WATSON ST
CORTLAND, NY 13045
Pharmacist
170 PORT WATSON ST
CORTLAND, NY 13045
Pharmacist
170 PORT WATSON ST
CORTLAND, NY 13045
Pharmacist
170 PORT WATSON ST
CORTLAND, NY 13045
Pharmacist
170 PORT WATSON ST
CORTLAND, NY 13045
Pharmacist
170 PORT WATSON ST, PHARMACY
CORTLAND, NY 13045
Pharmacist
170 PORT WATSON ST
CORTLAND, NY 13045

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 1205352267. It was assigned to this organization in the NPPES registry on August 21, 2017. The provider is doing business as Walgreens #17204.

Where is Walgreen Co located?

Walgreen Co is located at 170 Port Watson St, Cortland, NY 13045. The listed phone number is (607) 756-7591.

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, Walgreen Co accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.