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WALGREEN CO
NPI 1770830341
Pharmacy in Goodyear, AZ

Active since August 13, 2012CLIA 03D2059432 · Waiver
9800 S ESTRELLA PKWY, GOODYEAR, AZ 85338(623) 255-3649(623) 386-8708 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2025, Jun 26, 2025, Dec 20, 2016 and 1 more (4 updates tracked since 2016).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1770830341), doing business as Walgreens #12386, is a healthcare organization registered as a pharmacy in Goodyear, Arizona and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through July 13, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1770830341
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address9800 S ESTRELLA PKWYGoodyear, AZ 85338-7141
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Phone(623) 255-3649
Fax(623) 386-8708
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateAugust 13, 2012
Last NPPES UpdateAugust 6, 20254 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1770830341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in AZ · Y005544
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
9800 S ESTRELLA PKWY, Goodyear, AZ 85338
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Other Names 1

Doing Business AsWalgreens #12386

Other Identifiers 2

Other0357574AZ · Ncpdp
Medicaid795898AZ

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 03D2059432

Walgreens #12386 · Goodyear, AZ
Active · expires Jul 13, 2027
CLIA Number03D2059432
Laboratory TypePharmacy
Certificate Effective DateJuly 14, 2025
Certificate Expiration DateJuly 13, 2027
Laboratory DirectorScott C. Wilkins
Laboratory Phone(623) 255-3649
Laboratory LocationWalgreens #123869800 South Estrella Parkway, Goodyear, AZ 85338
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 #12386 carries, from the Medicare DMEPOS supplier directory.

Walgreens #12386

DMEPOS supplier · Goodyear, AZOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #12386 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)20390357
Medicare Participant SinceMarch 1, 2022
Supplier Location9800 S Estrella PkwyGoodyear, AZ 85338
Phone(623) 255-3649
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.

DR. MELISSA PRIYANTHIE MUNAGAMAGEDON
Pharmacist
9800 S ESTRELLA PKWY
GOODYEAR, AZ 85338
Maricopa County (623) 255-3649
MR. PAUL A. MASLA RPH
Pharmacist
9800 S ESTRELLA PKWY
GOODYEAR, AZ 85338
Maricopa County (623) 255-3439
JACKELLYN VERONICA REEVES
Pharmacist
9800 S ESTRELLA PKWY
GOODYEAR, AZ 85338
Maricopa County (623) 255-3649
AMBER LYNN KONEN PHARMD
Pharmacist
9800 S ESTRELLA PKWY
GOODYEAR, AZ 85338
Maricopa County (623) 255-3649

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 1770830341. It was assigned to this organization in the NPPES registry on August 13, 2012. The provider is doing business as Walgreens #12386.

Where is Walgreen Co located?

Walgreen Co is located at 9800 S Estrella Pkwy, Goodyear, AZ 85338. The listed phone number is (623) 255-3649.

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 #12386 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 03D2059432) is associated with this NPI, valid through July 13, 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 August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.