1. Home
  2. Directory
  3. California
  4. San Carlos
  5. Pharmacy
  6. NPI Profile

WALGREENS #02126
NPI 1518244193
Pharmacy in San Carlos, CA

Active since November 09, 2011
1414 EL CAMINO REAL, SAN CARLOS, CA 94070(650) 637-9777(650) 637-1012 Get Directions Write a Review

NPPES record last updated: November 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walgreens #02126 NPPES

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

WALGREENS #02126 (NPI 1518244193) is a healthcare organization registered as a pharmacy in San Carlos, California and active in the NPI registry since November 2011. The organization lists Kermit R Crawford, President, as its authorized official.

NPPES Registry Identity

NPI1518244193
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1414 EL CAMINO REALSan Carlos, CA 94070-5102
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(650) 637-9777
Fax(650) 637-1012
Organization SubpartYes
Authorized OfficialKermit R CrawfordPresident · (847) 315-3154
Enumeration DateNovember 9, 2011
✔ NPI 1518244193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in CA · PHY35432
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 ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License PHY35432 (CA)
1414 EL CAMINO REAL, San Carlos, CA 94070
Open in Google Maps ↗

Other Names 1

Doing Business AsWalgreens #02126

Other Identifiers 4

Medicare NSC0282930427CA
Medicare PINPHC049CA
MedicaidPHA354320CA
Medicare PINP00400633CA

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #2126 carries, from the Medicare DMEPOS supplier directory.

Walgreens #2126

DMEPOS supplier · San Carlos, CAOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #2126 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)20363147
Medicare Participant SinceMarch 1, 2022
Supplier Location1414 El Camino RealSan Carlos, CA 94070
Phone(650) 637-9777
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 16

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

JEANNY NGUYEN PHARMD
Pharmacist
1414 EL CAMINO REAL
SAN CARLOS, CA 94070
San Mateo County (650) 637-9777
JAY SHIN
Pharmacist
1414 EL CAMINO REAL
SAN CARLOS, CA 94070
San Mateo County (650) 637-9777
WALGREEN CO
Pharmacy
1414 EL CAMINO REAL
SAN CARLOS, CA 94070
San Mateo County (650) 637-9777
WALLGREENS
Clinic/Center (Community Health)
1414 EL CAMINO REAL
SAN CARLOS, CA 94070
San Mateo County (650) 637-9777
MS. ALEXIS ANN SEMANCHUK RPH
Pharmacist
1414 EL CAMINO REAL
SAN CARLOS, CA 94070
San Mateo County (650) 637-9777
TRACY LU
Pharmacist
1414 EL CAMINO REAL
SAN CARLOS, CA 94070
San Mateo County (650) 637-9777
KAREN L WONG
Pharmacist
1414 EL CAMINO REAL
SAN CARLOS, CA 94070
San Mateo County (650) 637-9777
MR. DANIEL PARK PHARM D
Pharmacist
1414 EL CAMINO REAL
SAN CARLOS, CA 94070
San Mateo County (650) 637-9777

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 1518244193. It was assigned to this organization in the NPPES registry on November 9, 2011. The provider is doing business as Walgreens #02126.

Where is Walgreen Co located?

Walgreen Co is located at 1414 El Camino Real, San Carlos, CA 94070. The listed phone number is (650) 637-9777.

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 #2126 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on November 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.