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WALGREENS #11905
NPI 1609155449
Pharmacy in Ridgewood, NY

Active since August 10, 2011
5802 METROPOLITAN AVE, RIDGEWOOD, NY 11385(718) 386-4319(718) 386-2673 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2023, Jan 24, 2019, Dec 14, 2017 (3 updates tracked since 2017).

About Walgreens #11905 NPPES

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

WALGREENS #11905 (NPI 1609155449) is a healthcare organization registered as a pharmacy in Ridgewood, New York and active in the NPI registry since August 2011. The organization lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1609155449
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address5802 METROPOLITAN AVERidgewood, NY 11385-1931
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(718) 386-4319
Fax(718) 386-2673
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 10, 2011
Last NPPES UpdateNovember 7, 20233 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1609155449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 031384
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
5802 METROPOLITAN AVE, Ridgewood, NY 11385
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Other Names 1

Doing Business AsWalgreens #11905

Other Identifiers 2

Medicaid03540232NY
Other4450196Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES

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

ROSITZA LOVE RPH.
Pharmacist
5802 METROPOLITAN AVE
RIDGEWOOD, NY 11385
Queens County (516) 352-8548

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 1609155449. It was assigned to this organization in the NPPES registry on August 10, 2011. The provider is doing business as Walgreens #11905.

Where is Walgreen Co located?

Walgreen Co is located at 5802 Metropolitan Ave, Ridgewood, NY 11385. The listed phone number is (718) 386-4319.

What is Walgreen Co's specialty?

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

What insurance does Walgreen Co accept?

Health plans from Medica and Moda Health Plan, Inc. 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 November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.