WALGREEN CO
NPI 1417103839
Pharmacy in Winchester, VA
About Walgreen Co NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALGREEN CO (NPI 1417103839), doing business as Walgreens #11573, is a healthcare organization registered as a pharmacy in Winchester, Virginia and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through November 9, 2027 and lists Jennifer Ponce, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Walgreen Co is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
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 49D2032650
Walgreens #11573 · Winchester, VAAreas of Expertise CMS Part B claims 5
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.
Medical Equipment Supplier Medicare DMEPOS 7
Medicare supplier enrollment and the product categories Walgreens #11573 carries, from the Medicare DMEPOS supplier directory.
Walgreens #11573
DMEPOS supplier · Winchester, VAOperated by Walgreen CoAccepts Medicare assignment
Walgreens #11573 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.
Medicare Product Categories
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1417103839. It was assigned to this organization in the NPPES registry on August 18, 2008. The provider is doing business as Walgreens #11573.
Where is Walgreen Co located?
Walgreen Co is located at 645 E Jubal Early Dr, Winchester, VA 22601. The listed phone number is (540) 667-1282.
What is Walgreen Co's specialty?
The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.
Is Walgreen Co enrolled in Medicare?
Yes. Walgreen Co is registered in the Medicare PECOS enrollment system.
When is Walgreen Co's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Independent Clinical Laboratory) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does Walgreen Co accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Walgreens #11573 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 49D2032650) is associated with this NPI, valid through November 9, 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 from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 33 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 January 23, 2026. 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.
# Walgreen Co · NPI 1417103839
Pharmacy organization in Winchester, Virginia. Organization record, active in the CMS NPPES registry since August 18, 2008.
## Identity
- **NPI:** 1417103839 (Entity type: Organization)
- **Enumerated:** August 18, 2008
- **Primary specialty:** Pharmacy · taxonomy 333600000X
- **Also known as:** Walgreens #11573 (Doing Business As)
- **Organization subpart:** Yes (part of Walgreens Boots Alliance Inc)
- **Authorized official:** Jennifer Ponce, MANAGER
## Practice location
- **Address:** 645 E JUBAL EARLY DR, Winchester, VA 22601-5179
- **Phone:** (540) 667-1282 · **Fax:** (540) 667-1714
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Virginia, Independent Clinical Laboratory) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2026
- **Other identifiers:** Other 4841018 (VA); Medicaid 1417103839 (VA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417103839) · Data from the CMS NPPES public registry.