WALGREEN CO
NPI 1578710539
Pharmacy - Community/Retail Pharmacy in Longmont, CO

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1578710539. It was assigned to this organization in the NPPES registry on August 21, 2008. The provider is doing business as Walgreens #11327.

Q: What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 August 21, 2008CLIA 06D2026957 · Waiver

450 KEN PRATT BLVD, LONGMONT, CO 80501(303) 532-3488(303) 532-3494 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2025, Oct 27, 2023, Jan 11, 2019 and 1 more (4 updates tracked since 2016).

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About Walgreen Co NPPES

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

WALGREEN CO (NPI 1578710539), doing business as Walgreens #11327, is a healthcare organization registered as a community/retail pharmacy in Longmont, Colorado and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1578710539

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWALGREEN CO

Location Address450 KEN PRATT BLVDLongmont, CO 80501-8522

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

Phone(303) 532-3488

Fax(303) 532-3494

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialJennifer PonceManager · (847) 527-2489

Enumeration DateAugust 21, 2008

Last NPPES UpdateNovember 20, 20254 updates tracked since enumeration

NPPES CertifiedNovember 20, 2025

✔ NPI 1578710539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X · License 751 (CO)

450 KEN PRATT BLVD, Longmont, CO 80501

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Other Names 1

Doing Business AsWalgreens #11327

Other Identifiers 2

Other0620977CO · Ncpdp

Medicaid92876251CO

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 06D2026957

Walgreens #11327 · Longmont, CO

Active · expires Jul 14, 2027

CLIA Number06D2026957

Laboratory TypePharmacy

Certificate Effective DateJuly 15, 2025

Certificate Expiration DateJuly 14, 2027

Laboratory DirectorKendra Zornacki

Laboratory Phone(303) 532-3488

Laboratory LocationWalgreens #11327450 Ken Pratt Blvd, Longmont, CO 80501

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.

183 services183 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.

141 services141 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.

23 services23 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.

14 services14 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.

14 services14 patients

Other Providers at the Same Location NPPES 5

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

DR. KIMBERLEY ANN MCCOLL PHARMD

Pharmacist