WALGREEN CO
NPI 1356865299
Pharmacy in Lexington Park, MD

Active since August 02, 2017
21729 GREAT MILLS RD STE C, LEXINGTON PARK, MD 20653(240) 895-8396(240) 895-8397 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2025, May 11, 2022, Jul 10, 2019 and 4 more (7 updates tracked since 2017).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1356865299), doing business as Walgreens #17236, is a healthcare organization registered as a pharmacy in Lexington Park, Maryland and active in the NPI registry since August 2017. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1356865299
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address21729 GREAT MILLS RD STE CLexington Park, MD 20653-3815
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Fax(240) 895-8397
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateAugust 2, 2017
Last NPPES UpdateFebruary 12, 20257 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
NPI 1356865299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in MD · P07749
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
21729 GREAT MILLS RD STE C, Lexington Park, MD 20653

Other Names 1

Doing Business AsWalgreens #17236

Other Identifiers 2

Medicaid845116800MD
Other2141620MD · Ncpdp

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (Federally Qualified Health Center (FQHC))
21729 GREAT MILLS RD STE C
LEXINGTON PARK, MD 20653

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 1356865299. It was assigned to this organization in the NPPES registry on August 2, 2017. The provider is doing business as Walgreens #17236.

Where is Walgreen Co located?

Walgreen Co is located at 21729 Great Mills Rd Ste C, Lexington Park, MD 20653. The listed phone number is (240) 895-8396.

What is Walgreen Co's specialty?

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

What insurance does Walgreen Co accept?

Health plans from Medica and Moda Health Plan, Inc. 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 February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.