1. Home
  2. Directory
  3. Utah
  4. Saratoga Springs
  5. Pharmacy
  6. NPI Profile

WALGREEN CO
NPI 1730356791
Pharmacy in Saratoga Springs, UT

Active since May 09, 2008CLIA 46D2060386 · Waiver
1410 N REDWOOD RD, SARATOGA SPRINGS, UT 84045(801) 766-1426(801) 766-5679 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 30, 2023, Mar 2, 2022, Nov 10, 2017 and 1 more (4 updates tracked since 2015).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1730356791) is a healthcare organization registered as a pharmacy in Saratoga Springs, Utah and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through April 15, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1730356791
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1410 N REDWOOD RDSaratoga Springs, UT 84045-7177
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Phone(801) 766-1426
Fax(801) 766-5679
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateMay 9, 2008
Last NPPES UpdateFebruary 9, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
✔ NPI 1730356791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in UT · 7046222-1703
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
1410 N REDWOOD RD, Saratoga Springs, UT 84045
Open in Google Maps ↗

Other Names 1

Other NameWalgreens #10104

Other Identifiers 2

Medicaid1730356791UT
Other4611047Ncpdp

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 46D2060386

Walgreens #10104 · Saratoga Springs, UT
Active · expires Apr 15, 2027
CLIA Number46D2060386
Laboratory TypePharmacy
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorPhilip E. Hatton
Laboratory Phone(801) 766-1426
Laboratory LocationWalgreens #101041410 N Redwood Rd, Saratoga Springs, UT 84045
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
66 services66 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
38 services38 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
26 services26 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #10104 carries, from the Medicare DMEPOS supplier directory.

Walgreens #10104

DMEPOS supplier · Saratoga Springs, UTOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #10104 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)20372885
Medicare Participant SinceMarch 1, 2022
Supplier Location1410 N Redwood RdSaratoga Springs, UT 84045
Phone(801) 766-1426
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.

MCKINZIE JONES
Pharmacist
1410 N REDWOOD RD
SARATOGA SPRINGS, UT 84045
Utah County (801) 766-1426
DR. PHILIP EMERSON HATTON PHARM D
Pharmacist
1410 N REDWOOD RD
SARATOGA SPRINGS, UT 84045
Utah County (801) 766-1426
MR. JARED SMITH PHARMD
Pharmacist
1410 N REDWOOD RD
SARATOGA SPRINGS, UT 84045
Utah County (801) 766-1426
SEYEDEH BITA ADABKHAH PHARMD
Pharmacist
1410 N REDWOOD RD
SARATOGA SPRINGS, UT 84045
Utah County (801) 766-1426

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 1730356791. It was assigned to this organization in the NPPES registry on May 9, 2008. The provider is also known as Walgreens #10104.

Where is Walgreen Co located?

Walgreen Co is located at 1410 N Redwood Rd, Saratoga Springs, UT 84045. The listed phone number is (801) 766-1426.

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 #10104 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 46D2060386) is associated with this NPI, valid through April 15, 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 41 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 February 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.