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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 1225270275
Pharmacy in Warren, NJ

Active since April 06, 2009CLIA 31D2035915 · Waiver
110 MOUNTAIN BLVD EXT, WARREN, NJ 07059(732) 907-6745(732) 907-6747 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 24, 2026, Apr 12, 2022, Mar 23, 2021 and 3 more (6 updates tracked since 2016).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1225270275), doing business as Walgreens #13706, is a healthcare organization registered as a pharmacy in Warren, New Jersey and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through September 7, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1225270275
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address110 MOUNTAIN BLVD EXTWarren, NJ 07059-5633
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Phone(732) 907-6745
Fax(732) 907-6747
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateApril 6, 2009
Last NPPES UpdateAugust 24, 20266 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1225270275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NJ · 28RS00690200
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
110 MOUNTAIN BLVD EXT, Warren, NJ 07059
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Other Names 1

Doing Business AsWalgreens #13706

Other Identifiers 2

Medicaid0213861NJ
Other3195751Ncpdp

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 31D2035915

Walgreens#13706 · Warren, NJ
Active · expires Sep 7, 2027
CLIA Number31D2035915
Laboratory TypePharmacy
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorMatthew Ju
Laboratory Phone(732) 907-6745
Laboratory LocationWalgreens#13706110 Mountain Blvd Ext, Warren, NJ 07059
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 5

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.
357 services356 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
193 services193 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
143 services143 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
42 services42 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
42 services42 patients

Other Providers at the Same Location NPPES 8

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

PRITI PATEL-FRANCIA
Pharmacist
110 MOUNTAIN BLVD EXT
WARREN, NJ 07059
Somerset County (732) 907-6745
MR. STEVEN BROOKS R. PH.
Pharmacist
110 MOUNTAIN BLVD EXT
WARREN, NJ 07059
Somerset County (732) 907-6745
NEHA PARIKH PHARM D
Pharmacist
110 MOUNTAIN BLVD EXT
WARREN, NJ 07059
Somerset County (732) 907-6745
EDWARD LIN PHARM.D.
Pharmacist
110 MOUNTAIN BLVD EXT
WARREN, NJ 07059
Somerset County (732) 907-6745
DRUG FAIR GROUP, INC.
Pharmacy (Community/Retail Pharmacy)
110 MOUNTAIN BLVD EXT, PHEASANT RUN PLAZA
WARREN, NJ 07059
Somerset County (732) 469-7011
SUSHMA PATEL RPH
Pharmacist
110 MOUNTAIN BLVD EXT
WARREN, NJ 07059
Somerset County (732) 907-6745
KAMILLA KOGAN PHARM.D.
Pharmacist
110 MOUNTAIN BLVD EXT
WARREN, NJ 07059
Somerset County (732) 907-6745
RADHA KANTESARIA
Pharmacist
110 MOUNTAIN BLVD EXT
WARREN, NJ 07059
Somerset County (732) 907-6745

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 1225270275. It was assigned to this organization in the NPPES registry on April 6, 2009. The provider is doing business as Walgreens #13706.

Where is Walgreen Co located?

Walgreen Co is located at 110 Mountain Blvd Ext, Warren, NJ 07059. The listed phone number is (732) 907-6745.

What is Walgreen Co's specialty?

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

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2035915) is associated with this NPI, valid through September 7, 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 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.