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WALGREEN CO
NPI 1629214689
Pharmacy in Madera, CA

Active since December 22, 2008
41169 GOODWIN WAY STE 110, MADERA, CA 93636(559) 353-6300(559) 432-3475 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2026, Nov 6, 2024, Apr 6, 2022 and 2 more (5 updates tracked since 2015).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1629214689), doing business as Walgreens Specialty Pharmacy #12761, is a healthcare organization registered as a pharmacy in Madera, California and active in the NPI registry since December 2008. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1629214689
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address41169 GOODWIN WAY STE 110Madera, CA 93636-8766
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Phone(559) 353-6300
Fax(559) 432-3475
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateDecember 22, 2008
Last NPPES UpdateJune 10, 20265 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1629214689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in CA · PHY49849
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
41169 GOODWIN WAY STE 110, Madera, CA 93636
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Other Names 1

Doing Business AsWalgreens Specialty Pharmacy #12761

Other Identifiers 2

Medicaid1629214689CA
Other5633234Ncpdp

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 ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreen Pharmacy #12761 carries, from the Medicare DMEPOS supplier directory.

Walgreen Pharmacy #12761

DMEPOS supplier · Madera, CAOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreen Pharmacy #12761 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)20382737
Medicare Participant SinceMarch 1, 2022
Supplier Location41169 Goodwin Way Ste 110Madera, CA 93636
Phone(559) 353-6300
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.

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 1629214689. It was assigned to this organization in the NPPES registry on December 22, 2008. The provider is doing business as Walgreens Specialty Pharmacy #12761.

Where is Walgreen Co located?

Walgreen Co is located at 41169 Goodwin Way Ste 110, Madera, CA 93636. The listed phone number is (559) 353-6300.

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, Walgreen Pharmacy #12761 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 June 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.