WALGREENS #04907
NPI 1831104108
Pharmacy in Fresno, CA

Active since July 29, 2006
2840 W ASHLAN AVE, FRESNO, CA 93705(559) 225-8900 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walgreens #04907 NPPES

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

WALGREENS #04907 (NPI 1831104108) is a healthcare organization registered as a pharmacy in Fresno, California and active in the NPI registry since July 2006. The organization lists John A Mann, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1831104108
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address2840 W ASHLAN AVEFresno, CA 93705-1757
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJohn A MannAssistant Secretary · (847) 527-4640
Enumeration DateJuly 29, 2006
Last NPPES UpdateApril 19, 2017
NPI 1831104108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in CA · PHY44171
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
2840 W ASHLAN AVE, Fresno, CA 93705

Other Names 1

Doing Business AsWalgreens #04907

Other Identifiers 5

Medicare PINPHC049
Medicare NSC0282932626CA
Other0512271Other Id Number-commercial Number
Medicare PINP00400633
MedicaidPHA441710CA

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.

Pharmacist
2840 W ASHLAN AVE
FRESNO, CA 93705
Pharmacist
2840 W ASHLAN AVE
FRESNO, CA 93705
Pharmacist
2840 W ASHLAN AVE
FRESNO, CA 93705
Pharmacist
2840 W ASHLAN AVE
FRESNO, CA 93705

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 1831104108. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #04907.

Where is Walgreen Co located?

Walgreen Co is located at 2840 W Ashlan Ave, Fresno, CA 93705. The listed phone number is (559) 225-8900.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.