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WALGREENS SPECIALTY PHARMACY #16530
NPI 1831629864
Pharmacy in Elmhurst, NY

Active since June 13, 2017
7512 BROADWAY, ELMHURST, NY 11373(718) 489-1114(718) 489-1116 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2024, May 6, 2022, Feb 7, 2019 and 4 more (7 updates tracked since 2017).

About Walgreens Specialty Pharmacy #16530 NPPES

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

WALGREENS SPECIALTY PHARMACY #16530 (NPI 1831629864) is a healthcare organization registered as a pharmacy in Elmhurst, New York and active in the NPI registry since June 2017. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1831629864
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address7512 BROADWAYElmhurst, NY 11373-5611
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Phone(718) 489-1114
Fax(718) 489-1116
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJune 13, 2017
Last NPPES UpdateDecember 4, 20247 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1831629864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 035710
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
7512 BROADWAY, Elmhurst, NY 11373
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Other Names 1

Doing Business AsWalgreens Specialty Pharmacy #16530

Other Identifiers 2

Medicaid05021834NY
Other5819846NY · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

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.

MICHAEL JAVIER LAINFIESTA PHARMD
Pharmacist
7512 BROADWAY
ELMHURST, NY 11373
Queens County (718) 489-1114
PETER CAO PHARMD
Pharmacist
7512 BROADWAY
ELMHURST, NY 11373
Queens County (718) 489-1114

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 1831629864. It was assigned to this organization in the NPPES registry on June 13, 2017. The provider is doing business as Walgreens Specialty Pharmacy #16530.

Where is Walgreen Co located?

Walgreen Co is located at 7512 Broadway, Elmhurst, NY 11373. The listed phone number is (718) 489-1114.

What is Walgreen Co's specialty?

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

What insurance does Walgreen Co accept?

Health plans from Medica and Moda Health Plan, Inc. 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 December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.