1. Home
  2. Directory
  3. NPI Profile
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 1710162508
Pharmacy in Mayaguez, PR

Active since December 31, 2007CLIA Certified · 2 labs
505 AVE HOSTOS, MAYAGUEZ, PR 00680(787) 831-0674 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2026, Nov 2, 2023, Feb 21, 2022 and 1 more (4 updates tracked since 2018).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1710162508) is a healthcare organization registered as a pharmacy in Mayaguez, Puerto Rico and active in the NPI registry since December 2007. The organization holds 2 active CLIA laboratory certificates and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1710162508
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address505 AVE HOSTOSMayaguez, PR 00680-1797
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Phone(787) 831-0674
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateDecember 31, 2007
Last NPPES UpdateAugust 7, 20264 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1710162508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in PR · F-2539
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

Other Identifiers 1

Other4025501PR · 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 2

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 40D2255649

Walgreens # 00555 · Mayaguez, PR
Active · expires Mar 15, 2028
CLIA Number40D2255649
Laboratory TypePharmacy
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorCelines Rodriguez
Laboratory Phone(787) 831-0674
Laboratory LocationWalgreens # 00555505 Ave Hostos, Mayaguez, PR 00680
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 40D2055786

Walgreens Hostos (st 314) · Mayaguez, PR
Active · expires Mar 17, 2027
CLIA Number40D2055786
Laboratory TypePharmacy
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorMr. Jose Martinez
Laboratory Phone(787) 831-9250
Laboratory LocationWalgreens Hostos (st 314)992 Avenida Hostos, Mayaguez, PR 00680
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #555 carries, from the Medicare DMEPOS supplier directory.

Walgreens #555

DMEPOS supplier · Mayaguez, PROperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #555 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)20372519
Medicare Participant SinceMarch 1, 2022
Supplier LocationCalle Carolina Carr. 2 Bo. SabalosMayaguez, PR 00680
Phone(787) 831-0674
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 4

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

JENNIFER SERRANO PAGAN PHARM D.
Pharmacist
505 AVE HOSTOS
MAYAGUEZ, PR 00680
Mayagüez Municipio (787) 831-0674
DR. AIXA LYNN HERNANDEZ LASSALLE PHARM D.
Pharmacist
505 AVE HOSTOS
MAYAGUEZ, PR 00680
Mayagüez Municipio (787) 831-0674
MS. SANDRA L LOPEZ
Pharmacist
505 AVE HOSTOS
MAYAGUEZ, PR 00680
Mayagüez Municipio (787) 831-0674
DR. SHIRLEY MARLYN RIVERA BUITRAGO PHARM.D.
Pharmacist
505 AVE HOSTOS
MAYAGUEZ, PR 00680
Mayagüez Municipio (787) 831-0674

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 1710162508. It was assigned to this organization in the NPPES registry on December 31, 2007.

Where is Walgreen Co located?

Walgreen Co is located at 505 Ave Hostos, Mayaguez, PR 00680. The listed phone number is (787) 831-0674.

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

Does Walgreen Co hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 37 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 August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.