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WALGREENS #15339
NPI 1487901047
Pharmacy in Magnolia, TX

Active since August 13, 2012CLIA 45D2053754 · Waiver
18850 FM 1488 RD, MAGNOLIA, TX 77355(281) 259-8387(281) 259-8538 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2024, Feb 28, 2023, Apr 28, 2022 and 3 more (6 updates tracked since 2016).

About Walgreens #15339 NPPES

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

WALGREENS #15339 (NPI 1487901047) is a healthcare organization registered as a pharmacy in Magnolia, Texas and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1487901047
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address18850 FM 1488 RDMagnolia, TX 77355-5231
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(281) 259-8387
Fax(281) 259-8538
Organization SubpartYesParent: Walgreens Boots Alliance
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateAugust 13, 2012
Last NPPES UpdateSeptember 19, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1487901047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in TX · 28218
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 ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
18850 FM 1488 RD, Magnolia, TX 77355
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Other Names 1

Doing Business AsWalgreens #15339

Other Identifiers 3

Medicaid466855TX
Medicaid468515TX
Other5906714TX · Ncpdp

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 45D2053754

Walgreens #15339 · Magnolia, TX
Active · expires Mar 23, 2027
CLIA Number45D2053754
Laboratory TypePharmacy
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorBrandy L. Alsup
Laboratory Phone(281) 259-8387
Laboratory LocationWalgreens #1533918850 Fm 1488 Rd, Magnolia, TX 77355
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 Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · Magnolia, TX
✔

Accepts Medicare assignment

Walgreen Co 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)20388215
Medicare Participant SinceMarch 1, 2022
Supplier Location18850 Fm 1488 RdMagnolia, TX 77355
Phone(281) 259-8387
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.

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 1487901047. It was assigned to this organization in the NPPES registry on August 13, 2012. The provider is doing business as Walgreens #15339.

Where is Walgreen Co located?

Walgreen Co is located at 18850 Fm 1488 Rd, Magnolia, TX 77355. The listed phone number is (281) 259-8387.

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, Walgreen Co 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 45D2053754) is associated with this NPI, valid through March 23, 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 47 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 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.