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 1821561861
Pharmacy in San Jose, CA

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1821561861. It was assigned to this organization in the NPPES registry on January 2, 2019. The provider is doing business as Walgreens Specialty Pharmacy #21193.

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 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 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.

Active since January 02, 2019

1757 W SAN CARLOS ST, SAN JOSE, CA 95128(408) 878-0112(408) 878-0113 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2019, Jan 2, 2019 (2 updates tracked since 2019).

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About Walgreen Co NPPES

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

WALGREEN CO (NPI 1821561861), doing business as Walgreens Specialty Pharmacy #21193, is a healthcare organization registered as a pharmacy in San Jose, California and active in the NPI registry since January 2019. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1821561861

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address1757 W SAN CARLOS STSan Jose, CA 95128-5222

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

Phone(408) 878-0112

Fax(408) 878-0113

Organization SubpartYesParent: Walgreens Holding Company

Authorized OfficialJennifer PonceManager · (847) 527-2489

Enumeration DateJanuary 2, 2019

Last NPPES UpdateJune 12, 20262 updates tracked since enumeration

NPPES CertifiedJune 12, 2026

✔ NPI 1821561861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

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

1757 W SAN CARLOS ST, San Jose, CA 95128

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Other Names 1

Doing Business AsWalgreens Specialty Pharmacy #21193

Other Identifiers 2

Medicaid1821561861CA

Other5667831CA · 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 ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Community Walgreens Pharmacy #21193 carries, from the Medicare DMEPOS supplier directory.

Community Walgreens Pharmacy #21193

DMEPOS supplier · San Jose, CAOperated by Walgreen Co

✔

Accepts Medicare assignment

Community Walgreens Pharmacy #21193 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)20377505

Medicare Participant SinceMarch 1, 2022

Supplier Location1757 W San Carlos StSan Jose, CA 95128

Phone(408) 878-0112

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.

THAO TRAN

Pharmacist

1757 W SAN CARLOS ST
SAN JOSE, CA 95128

Santa Clara County (408) 878-0112

KAYCEE KEALOHA LOKELANI SAN AGUSTIN-NORDMEIER PHARMD

Pharmacist

1757 W SAN CARLOS ST
SAN JOSE, CA 95128

Santa Clara County (408) 878-0112

EMILY REGINATO PHARM.D.

Pharmacist

1757 W SAN CARLOS ST
SAN JOSE, CA 95128

Santa Clara County (408) 878-0112

DR. NANCY LAM PHARMD

Pharmacist

1757 W SAN CARLOS ST
SAN JOSE, CA 95128

Santa Clara County (408) 878-0112

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 1821561861. It was assigned to this organization in the NPPES registry on January 2, 2019. The provider is doing business as Walgreens Specialty Pharmacy #21193.

Where is Walgreen Co located?

Walgreen Co is located at 1757 W San Carlos St, San Jose, CA 95128. The listed phone number is (408) 878-0112.

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, Community Walgreens Pharmacy #21193 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 39 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 June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 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.