WALGREEN CO
NPI 1245674928
Pharmacy in Ewa Beach, HI

Active since April 24, 2013
91-1081 KEAUNUI DR, EWA BEACH, HI 96706(808) 683-1166(808) 683-1168 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 28, 2025, Apr 26, 2022, Oct 14, 2016 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 1245674928), doing business as Walgreens #15146, is a healthcare organization registered as a pharmacy in Ewa Beach, Hawaii and active in the NPI registry since April 2013. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1245674928
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address91-1081 KEAUNUI DREwa Beach, HI 96706-6351
Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Fax(808) 683-1168
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateApril 24, 2013
Last NPPES UpdateMarch 28, 20254 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
NPI 1245674928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in HI · PHY838
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
91-1081 KEAUNUI DR, Ewa Beach, HI 96706

Other Names 1

Doing Business AsWalgreens #15146

Other Identifiers 2

Medicaid1245674928HI
Other1241138HI · Ncpdp

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #15146 carries, from the Medicare DMEPOS supplier directory.

Walgreens #15146

DMEPOS supplier · Ewa Beach, HIOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #15146 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)20383415
Medicare Participant SinceMarch 1, 2022
Supplier Location91-1081 Keaunui DrEwa Beach, HI 96706
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.

Pharmacist
91-1081 KEAUNUI DR
EWA BEACH, HI 96706
Pharmacist
91-1081 KEAUNUI DR
EWA BEACH, HI 96706
Pharmacist
91-1081 KEAUNUI DR
EWA BEACH, HI 96706
Pharmacist
91-1081 KEAUNUI DR
EWA BEACH, HI 96706
Pharmacist
91-1081 KEAUNUI DR
EWA BEACH, HI 96706
Pharmacist
91-1081 KEAUNUI DR
EWA BEACH, HI 96706

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 1245674928. It was assigned to this organization in the NPPES registry on April 24, 2013. The provider is doing business as Walgreens #15146.

Where is Walgreen Co located?

Walgreen Co is located at 91-1081 Keaunui Dr, Ewa Beach, HI 96706. The listed phone number is (808) 683-1166.

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 #15146 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 March 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.