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WALGREEN CO
NPI 1346588589
Pharmacy in Hagerstown, MD

Active since January 23, 2013CLIA 21D2061209 · Waiver
17703 VIRGINIA AVE, HAGERSTOWN, MD 21740(240) 420-5310(240) 420-5356 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2026, Aug 7, 2025, Apr 13, 2022 and 1 more (4 updates tracked since 2018).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1346588589), doing business as Walgreens #13892, is a healthcare organization registered as a pharmacy in Hagerstown, Maryland and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1346588589
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address17703 VIRGINIA AVEHagerstown, MD 21740-7850
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Phone(240) 420-5310
Fax(240) 420-5356
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJanuary 23, 2013
Last NPPES UpdateJune 3, 20264 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1346588589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MD · P06782
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
17703 VIRGINIA AVE, Hagerstown, MD 21740
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Other Names 1

Doing Business AsWalgreens #13892

Other Identifiers 2

Other2137051MD · Ncpdp
Medicaid580257100MD

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 21D2061209

Walgreens #13892 · Hagerstown, MD
Active · expires Nov 7, 2027
CLIA Number21D2061209
Laboratory TypePharmacy
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorRodney M. Lumor
Laboratory Phone(240) 420-5310
Laboratory LocationWalgreens #1389217703 Virginia Ave, Hagerstown, MD 21740
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 #13892 carries, from the Medicare DMEPOS supplier directory.

Walgreens #13892

DMEPOS supplier · Hagerstown, MDOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #13892 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)20385035
Medicare Participant SinceMarch 1, 2022
Supplier Location17703 Virginia AveHagerstown, MD 21740
Phone(240) 420-5310
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.

SENAIT ALEMU
Pharmacist
17703 VIRGINIA AVE
HAGERSTOWN, MD 21740
Washington County (240) 420-5310
DEVIN SEAN SUTTON
Pharmacist
17703 VIRGINIA AVE
HAGERSTOWN, MD 21740
Washington County (240) 420-5310
YVONNE L FORNISHI RPH
Pharmacist
17703 VIRGINIA AVE
HAGERSTOWN, MD 21740
Washington County (240) 420-5310
WALGREEN CO.
Pharmacy
17703 VIRGINIA AVE
HAGERSTOWN, MD 21740
Washington County (240) 420-5310
ALLISON EUNBEUL AN
Pharmacist
17703 VIRGINIA AVE
HAGERSTOWN, MD 21740
Washington County (240) 420-5310
ERYN GORDON PHARMD, RPH
Pharmacist
17703 VIRGINIA AVE
HAGERSTOWN, MD 21740
Washington County (240) 420-5310
MR. SRIDHAR GUDAPATI
Pharmacist
17703 VIRGINIA AVE
HAGERSTOWN, MD 21740
Washington County (240) 420-5310

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 1346588589. It was assigned to this organization in the NPPES registry on January 23, 2013. The provider is doing business as Walgreens #13892.

Where is Walgreen Co located?

Walgreen Co is located at 17703 Virginia Ave, Hagerstown, MD 21740. The listed phone number is (240) 420-5310.

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 #13892 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 21D2061209) is associated with this NPI, valid through November 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 June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.