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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WALGREEN CO
NPI 1649793589
Pharmacy in Monticello, NY

Active since July 24, 2017CLIA 33D2243380 · Waiver
381 BROADWAY, MONTICELLO, NY 12701(845) 791-1301(845) 791-1316 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2022, Aug 1, 2019, Jul 24, 2018 and 3 more (6 updates tracked since 2017).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1649793589), doing business as Walgreens #17736, is a healthcare organization registered as a pharmacy in Monticello, New York and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1649793589
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address381 BROADWAYMonticello, NY 12701-1385
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(845) 791-1301
Fax(845) 791-1316
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 24, 2017
Last NPPES UpdateJune 23, 20266 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1649793589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 036345
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
381 BROADWAY, Monticello, NY 12701
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Other Names 1

Doing Business AsWalgreens #17736

Other Identifiers 2

Medicaid05051143NY
Other5823643NY · 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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2243380

Walgreens No 17736 · Monticello, NY
Active · expires Mar 26, 2027
CLIA Number33D2243380
Laboratory TypePharmacy
Certificate Effective DateNovember 18, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Zeiad A. Fakhouri
Laboratory Phone(845) 791-1301
Laboratory LocationWalgreens No 17736381 Broadway, Monticello, NY 12701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · Monticello, NY
✔

Accepts Medicare assignment

Walgreen Co 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)20380391
Medicare Participant SinceMarch 1, 2022
Supplier Location381 BroadwayMonticello, NY 12701
Phone(845) 791-1301
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 7

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

DR. ASHLEY MARY TEN EYCK PHARM.D
Pharmacist
381 BROADWAY
MONTICELLO, NY 12701
Sullivan County (845) 791-1301
DAVID C ABDOO RPH
Pharmacist
381 BROADWAY
MONTICELLO, NY 12701
Sullivan County (845) 791-1301
DR. JOSEPH DANIEL BACKIEL PHARMD
Pharmacist
381 BROADWAY
MONTICELLO, NY 12701
Sullivan County (845) 791-1301
CATHERINE SABINI
Pharmacist
381 BROADWAY
MONTICELLO, NY 12701
Sullivan County (845) 791-1301
DR. DARYL SUBRAN PHARMD
Pharmacist
381 BROADWAY
MONTICELLO, NY 12701
Sullivan County (845) 791-1301
CAROLINE E MORSE PHARMD
Pharmacist
381 BROADWAY
MONTICELLO, NY 12701
Sullivan County (845) 791-1301
DR. PETER W SOLLECITO PHARMACIST
Pharmacist
381 BROADWAY
MONTICELLO, NY 12701
Sullivan County (845) 791-1301

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 1649793589. It was assigned to this organization in the NPPES registry on July 24, 2017. The provider is doing business as Walgreens #17736.

Where is Walgreen Co located?

Walgreen Co is located at 381 Broadway, Monticello, NY 12701. The listed phone number is (845) 791-1301.

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 Co accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2243380) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.