WALGREENS #13074
NPI 1619103157
Pharmacy - Clinic Pharmacy in Stevens Point, WI

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1619103157. It was assigned to this organization in the NPPES registry on June 10, 2009. The provider is doing business as Walgreens #13074.

Q: What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 10, 2009

900 ILLINOIS AVE, STEVENS POINT, WI 54481(715) 344-6834 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Walgreens #13074 NPPES

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

WALGREENS #13074 (NPI 1619103157) is a healthcare organization registered as a clinic pharmacy in Stevens Point, Wisconsin and active in the NPI registry since June 2009. The organization lists Alan T Nielsen, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1619103157

Entity TypeOrganization

Primary Taxonomy3336C0002X

Legal Business NameWALGREEN CO

Location Address900 ILLINOIS AVEStevens Point, WI 54481-3114

Mailing Address1901 E Voorhees St, M/s 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344

Phone(715) 344-6834

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialAlan T NielsenTreasurer · (847) 315-3523

Enumeration DateJune 10, 2009

Last NPPES UpdateNovember 5, 2015

✔ NPI 1619103157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers

Taxonomy Code3336C0002X

Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X · License 8917 (WI)

900 ILLINOIS AVE, Stevens Point, WI 54481

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Other Names 1

Doing Business AsWalgreens #13074

Other Identifiers 6

Medicaid1619103157WI

Medicare NSC0282937206WI

Other5131610WI · Ncpdp

Medicare PINP00400633WI

Other1619103157WI · Wi Dme

Medicare PINPHC049WI

Other Providers at the Same Location NPPES 20

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

DR. FREDERICK AFARI ABROKWAH MD

Hospitalist