WALGREENS #13702
NPI 1629210687
Pharmacy in Fairfield, NJ

Q: What is Walgreen Co.'s NPI number?

The NPI number for Walgreen Co. is 1629210687. It was assigned to this organization in the NPPES registry on April 6, 2009. The provider is doing business as Walgreens #13702.

Q: What is Walgreen Co.'s specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co. was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 06, 2009

397 ROUTE 46 W, FAIRFIELD, NJ 07004(862) 210-3980(862) 210-3736 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2022, Aug 24, 2018, Jan 14, 2016 (3 updates tracked since 2016).

On this page

About Walgreens #13702 NPPES

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

WALGREENS #13702 (NPI 1629210687) is a healthcare organization registered as a pharmacy in Fairfield, New Jersey and active in the NPI registry since April 2009. The organization lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1629210687

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO.

Location Address397 ROUTE 46 WFairfield, NJ 07004-1967

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(862) 210-3980

Fax(862) 210-3736

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira TaylorManager · (217) 709-2351

Enumeration DateApril 6, 2009

Last NPPES UpdateApril 12, 20223 updates tracked since enumeration

NPPES CertifiedApril 12, 2022

✔ NPI 1629210687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NJ · 28RS00692100

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

397 ROUTE 46 W, Fairfield, NJ 07004

Open in Google Maps ↗

Other Names 1

Doing Business AsWalgreens #13702

Other Identifiers 2

Medicaid0210994NJ

Other3195787Ncpdp

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 ›

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

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.

139 services139 patients

Influenza vaccine split virus, preservative free 90662

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.

88 services88 patients

Influenza vaccine, inactivated 90653

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.

42 services42 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #13702 carries, from the Medicare DMEPOS supplier directory.

Walgreens #13702

DMEPOS supplier · Fairfield, NJOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #13702 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)20386625

Medicare Participant SinceMarch 1, 2022

Supplier Location397 Route 46 WFairfield, NJ 07004

Phone(862) 210-3980

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.

DR. ANKUR JETLEY

Pharmacist

397 ROUTE 46 W
FAIRFIELD, NJ 07004

Essex County (973) 568-7830

MICHAEL BALADI

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

397 ROUTE 46 W
FAIRFIELD, NJ 07004

Essex County (862) 210-3980

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 1629210687. It was assigned to this organization in the NPPES registry on April 6, 2009. The provider is doing business as Walgreens #13702.

Where is Walgreen Co. located?

Walgreen Co. is located at 397 Route 46 W, Fairfield, NJ 07004. The listed phone number is (862) 210-3980.

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, Walgreens #13702 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.