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WALGREEN CO
NPI 1891982658
Pharmacy in Los Angeles, CA

Active since September 26, 2007
4616 DE LONGPRE AVE, LOS ANGELES, CA 90027(323) 644-2080(323) 644-2083 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Oct 27, 2023, Oct 9, 2018 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 1891982658), doing business as Walgreens #11449, is a healthcare organization registered as a pharmacy in Los Angeles, California and active in the NPI registry since September 2007. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1891982658
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address4616 DE LONGPRE AVELos Angeles, CA 90027-6076
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Phone(323) 644-2080
Fax(323) 644-2083
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateSeptember 26, 2007
Last NPPES UpdateJune 9, 20264 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1891982658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in CA · PHY48892
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
4616 DE LONGPRE AVE, Los Angeles, CA 90027
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Other Names 1

Doing Business AsWalgreens #11449

Other Identifiers 3

Medicaid1891982658CA
MedicaidPHA488920CA
Other5628738Ncpdp

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 Walgreens #11449 carries, from the Medicare DMEPOS supplier directory.

Walgreens #11449

DMEPOS supplier · Los Angeles, CAOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #11449 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)20375897
Medicare Participant SinceMarch 1, 2022
Supplier Location4616 De Longpre AveLos Angeles, CA 90027
Phone(323) 644-2080
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 2

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

PEDIATRIC CARE PHARMACY INC
Pharmacy
4616 DE LONGPRE AVE
LOS ANGELES, CA 90027
Los Angeles County (323) 913-5801
THAO NGUYEN PHARMD
Pharmacist
4616 DE LONGPRE AVE
LOS ANGELES, CA 90027
Los Angeles County (323) 644-2080

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 1891982658. It was assigned to this organization in the NPPES registry on September 26, 2007. The provider is doing business as Walgreens #11449.

Where is Walgreen Co located?

Walgreen Co is located at 4616 De Longpre Ave, Los Angeles, CA 90027. The listed phone number is (323) 644-2080.

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 #11449 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 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 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.