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WALGREEN CO
NPI 1467536508
Pharmacy - Community/Retail Pharmacy in Owasso, OK

Active since October 25, 2006CLIA 37D2222271 · Waiver
11650 E 86TH ST N, OWASSO, OK 74055(918) 272-9595(918) 274-3491 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2025, May 2, 2022, Nov 24, 2015 (3 updates tracked since 2015).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1467536508), doing business as Walgreens #15762, is a healthcare organization registered as a community/retail pharmacy in Owasso, Oklahoma and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 27, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1467536508
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREEN CO
Location Address11650 E 86TH ST NOwasso, OK 74055-2531
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Phone(918) 272-9595
Fax(918) 274-3491
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateOctober 25, 2006
Last NPPES UpdateMarch 28, 20253 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1467536508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 23619 (OK)
Also ListedPharmacyTaxonomy 333600000X · License 23619 (OK)
11650 E 86TH ST N, Owasso, OK 74055
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Other Names 1

Doing Business AsWalgreens #15762

Other Identifiers 4

Other400522489OK · Medicare Flu
Other3712595Other Id Number-commercial Number
Other200077890POK · Medicaid Dme
Medicaid100236540EOK

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 37D2222271

Walgreens #15762 · Owasso, OK
Active · expires Apr 27, 2027
CLIA Number37D2222271
Laboratory TypePharmacy
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorDylan Hancin
Laboratory Phone(918) 272-9595
Laboratory LocationWalgreens #1576211650 E 86th St N, Owasso, OK 74055
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 #15762 carries, from the Medicare DMEPOS supplier directory.

Walgreens #15762

DMEPOS supplier · Owasso, OKOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #15762 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)20384753
Medicare Participant SinceMarch 1, 2022
Supplier Location11650 E 86th St NOwasso, OK 74055
Phone(918) 272-9595
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 3

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

DR. SANG THI HUYNH PHARM.D
Pharmacist
11650 E 86TH ST N
OWASSO, OK 74055
Tulsa County (918) 272-9595
DR. JOHN BECKER R.PH.
Pharmacist
11650 E 86TH ST N
OWASSO, OK 74055
Tulsa County (918) 272-9595
DEBBIE FIELDS
Pharmacist
11650 E 86TH ST N
OWASSO, OK 74055
Tulsa County (918) 272-9595

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 1467536508. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as Walgreens #15762.

Where is Walgreen Co located?

Walgreen Co is located at 11650 E 86th St N, Owasso, OK 74055. The listed phone number is (918) 272-9595.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walgreen Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #15762 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 37D2222271) is associated with this NPI, valid through April 27, 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 43 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 March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.