WALGREEN CO
NPI 1629692744
Pharmacy in Mangonia Park, FL

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1629692744. It was assigned to this organization in the NPPES registry on June 4, 2020. The provider is doing business as Walgreens #21194.

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 November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 04, 2020

901 45TH ST, MANGONIA PARK, FL 33407(561) 402-8557(561) 402-8558 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2025, Feb 9, 2021, Jun 9, 2020 and 1 more (4 updates tracked since 2020).

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About Walgreen Co NPPES

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

WALGREEN CO (NPI 1629692744), doing business as Walgreens #21194, is a healthcare organization registered as a pharmacy in Mangonia Park, Florida and active in the NPI registry since June 2020. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1629692744

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address901 45TH STMangonia Park, FL 33407-2413

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344

Phone(561) 402-8557

Fax(561) 402-8558

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialJennifer PonceManager · (847) 527-2489

Enumeration DateJune 4, 2020

Last NPPES UpdateNovember 24, 20254 updates tracked since enumeration

NPPES CertifiedNovember 24, 2025

✔ NPI 1629692744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

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

901 45TH ST, Mangonia Park, FL 33407

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Other Names 1

Doing Business AsWalgreens #21194

Other Identifiers 2

Medicaid109026900FL

Other5744669FL · Ncpdp

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 Walgreens #21194 carries, from the Medicare DMEPOS supplier directory.

Walgreens #21194

DMEPOS supplier · Mangonia Park, FLOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #21194 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)20377229

Medicare Participant SinceMarch 1, 2022

Supplier Location901 45th StMangonia Park, FL 33407

Phone(561) 402-8557

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 20

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

JUAN C RAMOS-CANSECO M.D.

Psychiatry & Neurology (Neurocritical Care)

901 45TH ST
WEST PALM BEACH, FL 33407

Palm Beach County (561) 882-6214

MS. KATHLEEN ANNE THIBEAULT CRNA

Nurse Anesthetist, Certified Registered

901 45TH ST
WEST PALM BEACH, FL 33407

Palm Beach County (561) 840-3444

DR. TONYA GRAHAM PHARM D, CPH, RPH

Pharmacist

901 45TH ST
WEST PALM BEACH, FL 33407

Palm Beach County (561) 351-7524

TYLER DOUGLAS BRODEUR

Physician Assistant

901 45TH ST
MANGONIA PARK, FL 33407

Palm Beach County (561) 844-5255

JESSICA SHUTES

Physical Therapist

901 45TH ST
WEST PALM BEACH, FL 33407

Palm Beach County (561) 844-7878

KYLE GERAKOPOULOS M.D.

Emergency Medicine

901 45TH ST
MANGONIA PARK, FL 33407

Palm Beach County (561) 882-9944

ALYSSA LANDAU

Physician Assistant

901 45TH ST, KIMMEL BLDG
WEST PALM BEACH, FL 33407

Palm Beach County (561) 844-5255

JESSIKA ZABALA ANNUNZIATA

Nurse Anesthetist, Certified Registered

901 45TH ST
WEST PALM BEACH, FL 33407

Palm Beach County (561) 844-6300

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 1629692744. It was assigned to this organization in the NPPES registry on June 4, 2020. The provider is doing business as Walgreens #21194.

Where is Walgreen Co located?

Walgreen Co is located at 901 45th St, Mangonia Park, FL 33407. The listed phone number is (561) 402-8557.

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 #21194 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 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 November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.