WALGREEN CO
NPI 1386817658
Pharmacy in Fajardo, PR

Active since April 08, 2008CLIA 40D2233385 · Waiver
CARR 3 KM 50 BO QUEBRADA VUELTA, SECTOR PLAZA DEL PUEBLO, FAJARDO, PR 00738(787) 863-1475 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 5, 2025, Jan 12, 2016 (2 updates tracked since 2016).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1386817658), doing business as Walgreens #12012, is a healthcare organization registered as a pharmacy in Fajardo, Puerto Rico and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1386817658
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location AddressCARR 3 KM 50 BO QUEBRADA VUELTA, SECTOR PLAZA DEL PUEBLOFajardo, PR 00738-5090
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateApril 8, 2008
Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
NPI 1386817658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in PR · 10-F-2616
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

Other Names 1

Doing Business AsWalgreens #12012

Other Identifiers 1

Other4026161Ncpdp

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 40D2233385

Walgreens # 12012 · Fajardo, PR
Active · expires Aug 22, 2027
CLIA Number40D2233385
Laboratory TypePharmacy
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorCelines Rodriguez
Laboratory Phone(787) 863-1475
Laboratory LocationWalgreens # 12012100 Calle 12, Fajardo, PR 00738
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients

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 1386817658. It was assigned to this organization in the NPPES registry on April 8, 2008. The provider is doing business as Walgreens #12012.

Where is Walgreen Co located?

Walgreen Co is located at Carr 3 Km 50 Bo Quebrada Vuelta Sector Plaza Del Pueblo, Fajardo, PR 00738. The listed phone number is (787) 863-1475.

What is Walgreen Co's specialty?

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

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 40D2233385) is associated with this NPI, valid through August 22, 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 37 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 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.