WAGLREENS #12572
NPI 1679758049
Pharmacy in Reston, VA

Active since January 04, 2008
12000 SUNRISE VALLEY DR, RESTON, VA 20191(703) 476-6512 Get Directions Write a Review

NPPES record last updated: December 15, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Waglreens #12572 NPPES

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

WAGLREENS #12572 (NPI 1679758049) is a healthcare organization registered as a pharmacy in Reston, Virginia and active in the NPI registry since January 2008. The organization lists Kermit R Crawford, President, as its authorized official.

NPPES Registry Identity

NPI1679758049
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address12000 SUNRISE VALLEY DRReston, VA 20191-3403
Mailing Address1901 E Voorhees St, M/s 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Organization SubpartYes
Authorized OfficialKermit R CrawfordPresident · (847) 315-3154
Enumeration DateJanuary 4, 2008
Last NPPES UpdateDecember 15, 2011
NPI 1679758049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in VA · 0201004208
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
12000 SUNRISE VALLEY DR, Reston, VA 20191

Other Names 1

Other NameWaglreens #12572

Other Identifiers 5

Medicare PINPHC049
Other4840701Ncpdp
Medicare NSC0282936115
Medicaid1679758049VA
Medicare PINP00400633

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 1679758049. It was assigned to this organization in the NPPES registry on January 4, 2008. The provider is also known as Waglreens #12572.

Where is Walgreen Co located?

Walgreen Co is located at 12000 Sunrise Valley Dr, Reston, VA 20191. The listed phone number is (703) 476-6512.

What is Walgreen Co's specialty?

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

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on December 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.