WALGREEN CO
NPI 1609881820
Pharmacy in Oak Lawn, IL

Active since July 29, 2006CLIA 14D2049921 · Waiver
10639 S CICERO AVE, OAK LAWN, IL 60453(708) 424-3594 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, Nov 3, 2023, Feb 24, 2022 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 1609881820), doing business as Walgreens #01504, is a healthcare organization registered as a pharmacy in Oak Lawn, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 5, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1609881820
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address10639 S CICERO AVEOak Lawn, IL 60453-5269
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJuly 29, 2006
Last NPPES UpdateSeptember 8, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
NPI 1609881820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in IL · 54008711
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
10639 S CICERO AVE, Oak Lawn, IL 60453

Other Names 1

Doing Business AsWalgreens #01504

Other Identifiers 3

Other1451501Other Id Number-commercial Number
Medicaid362127039225IL
Medicaid300015326IN

Accepted 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 14D2049921

Walgreens #01504 · Oak Lawn, IL
Active · expires Apr 5, 2027
CLIA Number14D2049921
Laboratory TypePharmacy
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorDebra A. O Connell
Laboratory Phone(708) 424-3594
Laboratory LocationWalgreens #0150410639 S Cicero Ave, Oak Lawn, IL 60453
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

Pharmacist
10639 S CICERO AVE
OAK LAWN, IL 60453
Pharmacist
10639 S CICERO AVE
OAK LAWN, IL 60453
Pharmacy Technician
10639 S CICERO AVE
OAK LAWN, IL 60453
Pharmacist
10639 S CICERO AVE
OAK LAWN, IL 60453
Pharmacist
10639 S CICERO AVE
OAK LAWN, IL 60453
Pharmacist
10639 S CICERO AVE
OAK LAWN, IL 60453
Pharmacist
10639 S CICERO AVE
OAK LAWN, IL 60453
Pharmacist
10639 S CICERO AVE
OAK LAWN, IL 60453

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 1609881820. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #01504.

Where is Walgreen Co located?

Walgreen Co is located at 10639 S Cicero Ave, Oak Lawn, IL 60453. The listed phone number is (708) 424-3594.

What is Walgreen Co's specialty?

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

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2049921) is associated with this NPI, valid through April 5, 2027. 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 40 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 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.