WALGREEN CO
NPI 1700891033
Pharmacy in Casa Grande, AZ

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1700891033. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #04344.

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 June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 July 29, 2006CLIA 03D2011599 · Waiver

1514 E FLORENCE BLVD, CASA GRANDE, AZ 85122(520) 836-2787 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2025, Jan 24, 2017 (2 updates tracked since 2017).

On this page

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1700891033), doing business as Walgreens #04344, is a healthcare organization registered as a pharmacy in Casa Grande, Arizona and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1700891033

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address1514 E FLORENCE BLVDCasa Grande, AZ 85122-4741

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

Phone(520) 836-2787

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialJennifer PonceManager · (847) 527-2489

Enumeration DateJuly 29, 2006

Last NPPES UpdateJune 17, 20252 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1700891033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in AZ · YO1614

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

1514 E FLORENCE BLVD, Casa Grande, AZ 85122

Open in Google Maps ↗

Other Names 1

Doing Business AsWalgreens #04344

Other Identifiers 2

Other0313065Other Id Number-commercial Number

Medicaid038134AZ

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 03D2011599

Walgreens #04344 · Casa Grande, AZ

Active · expires Apr 11, 2027

CLIA Number03D2011599

Laboratory TypePharmacy

Certificate Effective DateApril 12, 2025

Certificate Expiration DateApril 11, 2027

Laboratory DirectorAndrew S. Thatcher

Laboratory Phone(520) 836-2787

Laboratory LocationWalgreens #043441514 E Florence Blvd, Casa Grande, AZ 85122

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 Walgreens #4344 carries, from the Medicare DMEPOS supplier directory.

Walgreens #4344

DMEPOS supplier · Casa Grande, AZOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #4344 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)20397107

Medicare Participant SinceMarch 1, 2022

Supplier Location1514 E Florence BlvdCasa Grande, AZ 85122

Phone(520) 836-2787

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 15

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

STEPHANIE STANLEY PH

Pharmacist