WALGREEN CO
NPI 1558377945
Pharmacy in Phoenix, AZ

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1558377945. It was assigned to this organization in the NPPES registry on July 31, 2006. The provider is doing business as Walgreens #06021.

Q: What is Walgreen Co's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 31, 2006CLIA Certified · 2 labs

1620 N 59TH AVE, PHOENIX, AZ 85035(623) 849-2092 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2025, May 3, 2022, Nov 30, 2015 (3 updates tracked since 2015).

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About Walgreen Co NPPES

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

WALGREEN CO (NPI 1558377945), doing business as Walgreens #06021, is a healthcare organization registered as a pharmacy in Phoenix, Arizona and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1558377945

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address1620 N 59TH AVEPhoenix, AZ 85035-4985

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344

Phone(623) 849-2092

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialJennifer PonceManager · (847) 527-2489

Enumeration DateJuly 31, 2006

Last NPPES UpdateSeptember 8, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2025

✔ NPI 1558377945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in AZ · Y03355

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

1620 N 59TH AVE, Phoenix, AZ 85035

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Other Names 1

Doing Business AsWalgreens #06021

Other Identifiers 2

Medicaid563199AZ

Other0325476Other Id Number-commercial Number

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 2

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 03D2008044

Walgreens #06021 · Phoenix, AZ

Active · expires Apr 6, 2027

CLIA Number03D2008044

Laboratory TypePharmacy

Certificate Effective DateApril 7, 2025

Certificate Expiration DateApril 6, 2027

Laboratory DirectorJacquelin D. Steele

Laboratory Phone(623) 849-2092

Laboratory LocationWalgreens #060211620 N 59th Avenue, Phoenix, AZ 85035

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D1095511

Walgreens #05937 · Phoenix, AZ

Active · expires Jul 8, 2027

CLIA Number03D1095511

Laboratory TypePharmacy

Certificate Effective DateJuly 9, 2025

Certificate Expiration DateJuly 8, 2027

Laboratory DirectorChristina K. Patton

Laboratory Phone(602) 325-0076

Laboratory LocationWalgreens #059374315 W Mcdowell Rd, Phoenix, AZ 85035

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.

13 services12 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #6021 carries, from the Medicare DMEPOS supplier directory.

Walgreens #6021

DMEPOS supplier · Phoenix, AZOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #6021 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)20394767

Medicare Participant SinceMarch 1, 2022

Supplier Location1620 N 59th AvePhoenix, AZ 85035

Phone(623) 849-2092

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 9

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

DR. SCOTT SCHIERLOH PHARMD

Pharmacist