WALGREEN CO
NPI 1487669727
Pharmacy in Hayward, CA

Active since July 29, 2006CLIA 05D2297573 · Waiver
1138 W TENNYSON RD, HAYWARD, CA 94544(510) 293-9031 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2026, Oct 26, 2023, Feb 28, 2022 and 1 more (4 updates tracked since 2018).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1487669727), doing business as Walgreens #02306, is a healthcare organization registered as a pharmacy in Hayward, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 17, 2028 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1487669727
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1138 W TENNYSON RDHayward, CA 94544-4422
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJuly 29, 2006
Last NPPES UpdateJune 4, 20264 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
NPI 1487669727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in CA · PHY36136
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
1138 W TENNYSON RD, Hayward, CA 94544

Other Names 1

Doing Business AsWalgreens #02306

Other Identifiers 2

Medicaid1487669727CA
Other0599994Other Id Number-commercial Number

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 05D2297573

Walgreens 02306 · Hayward, CA
Active · expires Jan 17, 2028
CLIA Number05D2297573
Laboratory TypePharmacy
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorMarissa Lelina
Laboratory Phone(510) 293-9031
Laboratory LocationWalgreens 023061138 W Tennyson Rd, Hayward, CA 94544
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas 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.

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.
156 services156 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
72 services72 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
61 services61 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
21 services21 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
21 services21 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #2306 carries, from the Medicare DMEPOS supplier directory.

Walgreens #2306

DMEPOS supplier · Hayward, CAOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #2306 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)20363465
Medicare Participant SinceMarch 1, 2022
Supplier Location1138 W Tennyson RdHayward, CA 94544
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 17

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

Pharmacist
1138 W TENNYSON RD
HAYWARD, CA 94544
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1138 W TENNYSON RD
HAYWARD, CA 94544
Pharmacist
1138 W TENNYSON RD
HAYWARD, CA 94544
Pharmacist
1138 W TENNYSON RD
HAYWARD, CA 94544
Pharmacist
1138 W TENNYSON RD
HAYWARD, CA 94544
Pharmacist
1138 W TENNYSON RD
HAYWARD, CA 94544
Pharmacist
1138 W TENNYSON RD
HAYWARD, CA 94544
Pharmacist
1138 W TENNYSON RD
HAYWARD, CA 94544

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 1487669727. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #02306.

Where is Walgreen Co located?

Walgreen Co is located at 1138 W Tennyson Rd, Hayward, CA 94544. The listed phone number is (510) 293-9031.

What is Walgreen Co's specialty?

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

Does Walgreen Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #2306 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 05D2297573) is associated with this NPI, valid through January 17, 2028. 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 39 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 June 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.