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WALGREEN CO
NPI 1609144377
Pharmacy in Union City, NJ

Active since December 08, 2011CLIA 31D2052142 · Waiver
3508 KENNEDY BLVD, UNION CITY, NJ 07087(201) 864-9129(201) 864-9154 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2025, Aug 8, 2019, Jul 22, 2019 and 4 more (7 updates tracked since 2016).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1609144377), doing business as Walgreens #12442, is a healthcare organization registered as a pharmacy in Union City, New Jersey and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through October 13, 2026 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1609144377
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3508 KENNEDY BLVDUnion City, NJ 07087-2525
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Phone(201) 864-9129
Fax(201) 864-9154
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateDecember 8, 2011
Last NPPES UpdateMarch 28, 20257 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1609144377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NJ · 28RS00719200
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
3508 KENNEDY BLVD, Union City, NJ 07087
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Other Names 1

Doing Business AsWalgreens #12442

Other Identifiers 2

Medicaid0311073NJ
Other3198389Ncpdp

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 31D2052142

Walgreens#12442 · Union City, NJ
Active · expires Oct 13, 2026
CLIA Number31D2052142
Laboratory TypePharmacy
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorMichael Gonzalez
Laboratory Phone(201) 864-9129
Laboratory LocationWalgreens#124423508 John F Kennedy Blvd, Union City, NJ 07087
CLIA data matches this NPI record on: 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 #12442 carries, from the Medicare DMEPOS supplier directory.

Walgreen #12442

DMEPOS supplier · Union City, NJOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreen #12442 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)20395769
Medicare Participant SinceMarch 1, 2022
Supplier Location3508 Kennedy BlvdUnion City, NJ 07087
Phone(201) 864-9129
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 2

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

MINERVA E FERNANDEZ
Licensed Practical Nurse
3508 KENNEDY BLVD
UNION CITY, NJ 07087
Hudson County (201) 864-9129
MICHELLE ALEXIS HERNANDEZ
Clinical Nurse Specialist (Community Health/Public Health)
3508 KENNEDY BLVD
UNION CITY, NJ 07087
Hudson County (201) 864-9129

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 1609144377. It was assigned to this organization in the NPPES registry on December 8, 2011. The provider is doing business as Walgreens #12442.

Where is Walgreen Co located?

Walgreen Co is located at 3508 Kennedy Blvd, Union City, NJ 07087. The listed phone number is (201) 864-9129.

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 #12442 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 31D2052142) is associated with this NPI, valid through October 13, 2026. 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 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 March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.