WALGREEN CO
NPI 1215350376
Pharmacy in San Antonio, TX

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1215350376. It was assigned to this organization in the NPPES registry on January 27, 2014. The provider is doing business as Walgreens #15621.

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 March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 27, 2014CLIA 45D2214734 · Waiver

25215 W INTERSTATE 10, SAN ANTONIO, TX 78257(210) 698-2540(210) 698-7063 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 28, 2025, Feb 28, 2023, Apr 29, 2022 and 3 more (6 updates tracked since 2016).

On this page

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1215350376), doing business as Walgreens #15621, is a healthcare organization registered as a pharmacy in San Antonio, Texas and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through February 23, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1215350376

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address25215 W INTERSTATE 10San Antonio, TX 78257-9501

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344

Phone(210) 698-2540

Fax(210) 698-7063

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialJennifer PonceManager · (847) 527-2489

Enumeration DateJanuary 27, 2014

Last NPPES UpdateMarch 28, 20256 updates tracked since enumeration

NPPES CertifiedMarch 28, 2025

✔ NPI 1215350376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

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 ListedClinical Medical LaboratoryTaxonomy 291U00000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

25215 W INTERSTATE 10, San Antonio, TX 78257

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Other Names 1

Doing Business AsWalgreens #15621

Other Identifiers 2

Other5910852TX · Ncpdp

Medicaid466982TX

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 45D2214734

Walgreens #15621 · San Antonio, TX

Active · expires Feb 23, 2027

CLIA Number45D2214734

Laboratory TypePharmacy

Certificate Effective DateFebruary 24, 2025

Certificate Expiration DateFebruary 23, 2027

Laboratory DirectorChristopher Mcmillan

Laboratory Phone(210) 698-2540

Laboratory LocationWalgreens #1562125215 W Interstate 10, San Antonio, TX 78257

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 #15621 carries, from the Medicare DMEPOS supplier directory.

Walgreens #15621

DMEPOS supplier · San Antonio, TXOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #15621 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)20382845

Medicare Participant SinceMarch 1, 2022

Supplier Location25215 W Interstate 10San Antonio, TX 78257

Phone(210) 698-2540

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.

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 1215350376. It was assigned to this organization in the NPPES registry on January 27, 2014. The provider is doing business as Walgreens #15621.

Where is Walgreen Co located?

Walgreen Co is located at 25215 W Interstate 10, San Antonio, TX 78257. The listed phone number is (210) 698-2540.

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 #15621 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 45D2214734) is associated with this NPI, valid through February 23, 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 46 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 March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.