WALGREEN CO
NPI 1609883602
Pharmacy in Corona, CA

Active since August 02, 2006CLIA 05D2259218 · Waiver
100 W ONTARIO AVE, CORONA, CA 92882(951) 582-9551 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 4, 2024, May 16, 2022, Oct 5, 2018 and 1 more (4 updates tracked since 2015).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1609883602), doing business as Walgreens #07303, is a healthcare organization registered as a pharmacy in Corona, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 2, 2028 and lists Virginia Garza, Manager, as its authorized official.

NPPES Registry Identity

NPI1609883602
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address100 W ONTARIO AVECorona, CA 92882-5215
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialVirginia GarzaManager · (217) 709-2364
Enumeration DateAugust 2, 2006
Last NPPES UpdateJune 9, 20264 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
NPI 1609883602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in CA · PHY46846
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
100 W ONTARIO AVE, Corona, CA 92882

Other Names 1

Doing Business AsWalgreens #07303

Other Identifiers 3

MedicaidPHA468460CA
Other5613888Other Id Number-commercial Number
Medicaid1609883602CA

Accepted Insurance

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 78 times for 78 patients

Influenza vaccine split virus, preservative free

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.

This service was performed 44 times for 44 patients

Influenza vaccine, inactivated

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.

This service was performed 28 times for 28 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20364701
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2259218
Facility Type
Pharmacy
Certificate Effective Date
May 03, 2026
Certificate Expiration Date
May 02, 2028
Laboratory Director
AGBOMMA ORDU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walgreen Co to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Pharmacist
100 W ONTARIO AVE
CORONA, CA 92882
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
100 W ONTARIO AVE
CORONA, CA 92882
Pharmacist
100 W ONTARIO AVE
CORONA, CA 92882
Pharmacist
100 W ONTARIO AVE
CORONA, CA 92882
Pharmacist
100 W ONTARIO AVE
CORONA, CA 92882
Pharmacist
100 W ONTARIO AVE
CORONA, CA 92882
Pharmacist
100 W ONTARIO AVE
CORONA, CA 92882
Pharmacist
100 W ONTARIO AVE
CORONA, CA 92882
Pharmacist
100 W ONTARIO AVE
CORONA, CA 92882

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609883602, enumerated as an "organization" on August 02, 2006.

The provider is located at 100 W ONTARIO AVE CORONA, CA 92882 and the phone number is (951) 582-9551.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.