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WALGREEN CO
NPI 1831613967
Pharmacy in Kittery, ME

Active since July 31, 2017CLIA 20D2199390 · Waiver
15 SHAPLEIGH RD, KITTERY, ME 03904(207) 438-9079(207) 439-0119 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2026, May 12, 2026, Jan 7, 2026 and 5 more (8 updates tracked since 2017).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1831613967), doing business as Walgreens #19330, is a healthcare organization registered as a pharmacy in Kittery, Maine and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1831613967
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address15 SHAPLEIGH RDKittery, ME 03904-1401
Mailing Address1901 E Voorhees StDanville, IL 61834-4515 · (217) 709-2351 · Fax (217) 709-2344
Phone(207) 438-9079
Fax(207) 439-0119
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJuly 31, 2017
Last NPPES UpdateJune 2, 20268 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1831613967 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
15 SHAPLEIGH RD, Kittery, ME 03904
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Other Names 1

Doing Business AsWalgreens #19330

Other Identifiers 3

Medicaid1831613967ME
Medicaid3111419NH
OtherPH50001631ME · Board Of Pharmacy

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 20D2199390

Walgreens #19330 · Kittery, ME
Active · expires Nov 8, 2026
CLIA Number20D2199390
Laboratory TypePharmacy
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorBrook E. Henderson
Laboratory Phone(207) 438-9079
Laboratory LocationWalgreens #1933015 Shapleigh, Kittery, ME 03904
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 Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · Kittery, ME
✔

Accepts Medicare assignment

Walgreen Co 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)20396411
Medicare Participant SinceMarch 1, 2022
Supplier Location15 Shapleigh RdKittery, ME 03904
Phone(207) 438-9079
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 5

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

JOSHUA DAVID LEWIS PHARMD
Pharmacist
15 SHAPLEIGH RD
KITTERY, ME 03904
York County (207) 438-9079
ROBERTA BATEMAN RPH
Pharmacist
15 SHAPLEIGH RD
KITTERY, ME 03904
York County (207) 438-9079
MARY FLORENCE LEISENTRITT
Pharmacist
15 SHAPLEIGH RD
KITTERY, ME 03904
York County (207) 438-9079
MR. MANOHAR STEVEN PINTO RPH
Pharmacist
15 SHAPLEIGH RD
KITTERY, ME 03904
York County (207) 438-9079
MR. ARCHIE R. JONES
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
15 SHAPLEIGH RD
KITTERY, ME 03904
York County (207) 439-0246

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 1831613967. It was assigned to this organization in the NPPES registry on July 31, 2017. The provider is doing business as Walgreens #19330.

Where is Walgreen Co located?

Walgreen Co is located at 15 Shapleigh Rd, Kittery, ME 03904. The listed phone number is (207) 438-9079.

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, Walgreen Co 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 20D2199390) is associated with this NPI, valid through November 8, 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 40 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 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.