WALGREEN CO
NPI 1477637510
Pharmacy - Community/Retail Pharmacy in Tulsa, OK

Active since October 25, 2006CLIA 37D2288027 · Waiver
1714 UTICA SQ, TULSA, OK 74114(918) 743-9968(918) 743-1597 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2025, May 3, 2022, Dec 23, 2016 and 1 more (4 updates tracked since 2015).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1477637510), doing business as Walgreens #15782, is a healthcare organization registered as a community/retail pharmacy in Tulsa, Oklahoma and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1477637510
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREEN CO
Location Address1714 UTICA SQTulsa, OK 74114-1400
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Fax(918) 743-1597
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 8, 20254 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
NPI 1477637510 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 21476 (OK)
Also ListedPharmacyTaxonomy 333600000X · License 21476 (OK)
1714 UTICA SQ, Tulsa, OK 74114

Other Names 1

Doing Business AsWalgreens #15782

Other Identifiers 4

Other3701287Other Id Number-commercial Number
Medicaid100233260GOK
Other400522490OK · Medicare Flu
Other100246210JOK · Medicaid Dme

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 37D2288027

Walgreens #15782 · Tulsa, OK
Active · expires Aug 20, 2027
CLIA Number37D2288027
Laboratory TypePharmacy
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorAnait Pahlevanyan
Laboratory Phone(918) 743-9968
Laboratory LocationWalgreens #157821714 Utica Sq, Tulsa, OK 74114
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 #15782 carries, from the Medicare DMEPOS supplier directory.

Walgreens #15782

DMEPOS supplier · Tulsa, OKOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #15782 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)20384999
Medicare Participant SinceMarch 1, 2022
Supplier Location1714 Utica SqTulsa, OK 74114
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 4

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

Pharmacist
1714 UTICA SQ
TULSA, OK 74114
Pharmacist
1714 UTICA SQ
TULSA, OK 74114
Pharmacist
1714 UTICA SQ
TULSA, OK 74114
Pharmacist
1714 UTICA SQ
TULSA, OK 74114

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 1477637510. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as Walgreens #15782.

Where is Walgreen Co located?

Walgreen Co is located at 1714 Utica Sq, Tulsa, OK 74114. The listed phone number is (918) 743-9968.

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 #15782 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 37D2288027) is associated with this NPI, valid through August 20, 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 August 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.