WALGREENS SPECIALTY PHARMACY #15538
NPI 1558794685
Pharmacy in Providence, RI

Active since August 13, 2013
335 PRAIRIE AVE, PROVIDENCE, RI 02905(401) 781-4325(401) 781-4392 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 4, 2024, Jul 30, 2024, Apr 29, 2022 and 6 more (9 updates tracked since 2015).

About Walgreens Specialty Pharmacy #15538 NPPES

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

WALGREENS SPECIALTY PHARMACY #15538 (NPI 1558794685) is a healthcare organization registered as a pharmacy in Providence, Rhode Island and active in the NPI registry since August 2013. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1558794685
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address335 PRAIRIE AVEProvidence, RI 02905-1924
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Fax(401) 781-4392
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateAugust 13, 2013
Last NPPES UpdateDecember 4, 20249 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1558794685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in RI · PHA00563
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
335 PRAIRIE AVE, Providence, RI 02905

Other Names 1

Doing Business AsWalgreens Specialty Pharmacy #15538

Other Identifiers 2

Other4107581RI · Ncpdp
Medicaid1558794685RI

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreen 15538 carries, from the Medicare DMEPOS supplier directory.

Walgreen 15538

DMEPOS supplier · Providence, RIOperated by Walgreen Co

Accepts Medicare assignment

Walgreen 15538 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)20388053
Medicare Participant SinceMarch 1, 2022
Supplier Location335 Prairie AveProvidence, RI 02905
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 13

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

Pharmacist
335 PRAIRIE AVE
PROVIDENCE, RI 02905
Dentist (General Practice)
335 PRAIRIE AVE
PROVIDENCE, RI 02905
Pharmacist
335 PRAIRIE AVE
PROVIDENCE, RI 02905
Registered Nurse (Diabetes Educator)
335 PRAIRIE AVE
PROVIDENCE, RI 02905
Dentist
335 PRAIRIE AVE
PROVIDENCE, RI 02905
Dentist (Pediatric Dentistry)
335 PRAIRIE AVE
PROVIDENCE, RI 02905
Pharmacist
335 PRAIRIE AVE
PROVIDENCE, RI 02905
Pharmacist
335 PRAIRIE AVE
PROVIDENCE, RI 02905

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 1558794685. It was assigned to this organization in the NPPES registry on August 13, 2013. The provider is doing business as Walgreens Specialty Pharmacy #15538.

Where is Walgreen Co located?

Walgreen Co is located at 335 Prairie Ave, Providence, RI 02905. The listed phone number is (401) 781-4325.

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 15538 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 December 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.