WALGREENS #12422
NPI 1225435654
Pharmacy - Community/Retail Pharmacy in Commerce City, CO

Active since December 01, 2014CLIA 06D2206331 · Waiver
15310 E 104TH AVE, COMMERCE CITY, CO 80022(303) 928-4084(303) 928-4085 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Jul 22, 2019, Jan 11, 2019 and 1 more (4 updates tracked since 2016).

About Walgreens #12422 NPPES

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

WALGREENS #12422 (NPI 1225435654) is a healthcare organization registered as a community/retail pharmacy in Commerce City, Colorado and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through December 17, 2026 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1225435654
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREEN CO
Location Address15310 E 104TH AVECommerce City, CO 80022-8607
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(303) 928-4085
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateDecember 1, 2014
Last NPPES UpdateSeptember 19, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1225435654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
15310 E 104TH AVE, Commerce City, CO 80022

Other Names 1

Doing Business AsWalgreens #12422

Other Identifiers 2

Medicaid97707325CO
Other0623721CO · Ncpdp

Accepted 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 06D2206331

Walgreens #12422 · Commerce City, CO
Active · expires Dec 17, 2026
CLIA Number06D2206331
Laboratory TypePharmacy
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorAaron Barcelo
Laboratory Phone(303) 928-4084
Laboratory LocationWalgreens #1242215310 E 104th Ave, Commerce City, CO 80022
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Pharmacist
15310 E 104TH AVE
COMMERCE CITY, CO 80022
Pharmacist
15310 E 104TH AVE
COMMERCE CITY, CO 80022
Clinical Medical Laboratory
15310 E 104TH AVE
COMMERCE CITY, CO 80022

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 1225435654. It was assigned to this organization in the NPPES registry on December 1, 2014. The provider is doing business as Walgreens #12422.

Where is Walgreen Co located?

Walgreen Co is located at 15310 E 104th Ave, Commerce City, CO 80022. The listed phone number is (303) 928-4084.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2206331) is associated with this NPI, valid through December 17, 2026. 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 September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.