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WALGREEN CO
NPI 1346794492
Pharmacy in Salt Lake City, UT

Active since August 06, 2016
201 S 1300 E, STE 101, SALT LAKE CITY, UT 84102(801) 736-9309(801) 736-9311 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2025, May 6, 2022, Feb 27, 2017 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 1346794492), doing business as Walgreens Specialty Pharmacy #16481, is a healthcare organization registered as a pharmacy in Salt Lake City, Utah and active in the NPI registry since August 2016. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1346794492
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address201 S 1300 E, STE 101Salt Lake City, UT 84102-2608
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Phone(801) 736-9309
Fax(801) 736-9311
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateAugust 6, 2016
Last NPPES UpdateNovember 10, 20256 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1346794492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in UT · 9848854-1703
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
201 S 1300 E, Salt Lake City, UT 84102
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Other Names 1

Doing Business AsWalgreens Specialty Pharmacy #16481

Other Identifiers 4

Medicaid3002108UT
Medicaid246637600WY
Other9848854-1703UT · Board Of Pharmacy
Other4613659UT · Ncpdp

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 ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Community Walgreens Pharmacy 16481 carries, from the Medicare DMEPOS supplier directory.

Community Walgreens Pharmacy 16481

DMEPOS supplier · Salt Lake City, UTOperated by Walgreen Co
✔

Accepts Medicare assignment

Community Walgreens Pharmacy 16481 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)20395991
Medicare Participant SinceMarch 1, 2022
Supplier Location201 S 1300 E Ste 101Salt Lake City, UT 84102
Phone(801) 736-9309
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 2

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

VICTORIA LEVINZON PHARMD
Pharmacist
201 S 1300 E
SALT LAKE CITY, UT 84102
Salt Lake County (801) 736-9309
MICHAEL ROWLETT PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
201 S 1300 E
SALT LAKE CITY, UT 84102
Salt Lake County (801) 736-9309

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 1346794492. It was assigned to this organization in the NPPES registry on August 6, 2016. The provider is doing business as Walgreens Specialty Pharmacy #16481.

Where is Walgreen Co located?

Walgreen Co is located at 201 S 1300 E Ste 101, Salt Lake City, UT 84102. The listed phone number is (801) 736-9309.

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, Community Walgreens Pharmacy 16481 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 41 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 November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.