WALGREEN CO
NPI 1750712196
Pharmacy in Ogden, UT

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1750712196. It was assigned to this organization in the NPPES registry on December 11, 2013. The provider is doing business as Walgreens #15290.

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 March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 December 11, 2013CLIA 46D2206053 · Waiver

1208 WASHINGTON BLVD, OGDEN, UT 84404(801) 621-1367(801) 621-4289 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 28, 2025, Apr 27, 2022, Jan 14, 2016 (3 updates tracked since 2016).

On this page

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1750712196), doing business as Walgreens #15290, is a healthcare organization registered as a pharmacy in Ogden, Utah and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1750712196

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address1208 WASHINGTON BLVDOgden, UT 84404-5743

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344

Phone(801) 621-1367

Fax(801) 621-4289

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialJennifer PonceManager · (847) 527-2489

Enumeration DateDecember 11, 2013

Last NPPES UpdateMarch 28, 20253 updates tracked since enumeration

NPPES CertifiedMarch 28, 2025

✔ NPI 1750712196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in UT · 4791411-1703

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

1208 WASHINGTON BLVD, Ogden, UT 84404

Open in Google Maps ↗

Other Names 1

Doing Business AsWalgreens #15290

Other Identifiers 2

Medicaid1750712196UT

Other4612746UT · 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 46D2206053

Walgreens #15290 · Ogden, UT

Active · expires Dec 16, 2026

CLIA Number46D2206053

Laboratory TypeCovid-19 Testing Site

Certificate Effective DateDecember 17, 2024

Certificate Expiration DateDecember 16, 2026

Laboratory DirectorBo Tucker Shupe

Laboratory Phone(801) 621-1367

Laboratory LocationWalgreens #152901208 Washington Blvd, Ogden, UT 84404

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 #15290 carries, from the Medicare DMEPOS supplier directory.

Walgreens #15290

DMEPOS supplier · Ogden, UTOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #15290 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)20385785

Medicare Participant SinceMarch 1, 2022

Supplier Location1208 Washington BlvdOgden, UT 84404

Phone(801) 621-1367

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 2

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

JONATHAN RANDALL WARREN PHARMD

Pharmacist

1208 WASHINGTON BLVD
OGDEN, UT 84404

Weber County (801) 621-1367

BO TUCKER SHUPE

Pharmacist

1208 WASHINGTON BLVD
OGDEN, UT 84404

Weber County (801) 621-1367

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 1750712196. It was assigned to this organization in the NPPES registry on December 11, 2013. The provider is doing business as Walgreens #15290.

Where is Walgreen Co located?

Walgreen Co is located at 1208 Washington Blvd, Ogden, UT 84404. The listed phone number is (801) 621-1367.

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 #15290 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 46D2206053) is associated with this NPI, valid through December 16, 2026. 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 March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.