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WALGREEN CO
NPI 1902030091
Pharmacy in San Antonio, TX

Active since May 05, 2009CLIA 45D2059419 · Waiver
300 E HOUSTON ST, SAN ANTONIO, TX 78205(210) 424-3462(210) 424-3468 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2025, Apr 4, 2022, Jun 10, 2019 and 2 more (5 updates tracked since 2016).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1902030091), doing business as Walgreens #12520, is a healthcare organization registered as a pharmacy in San Antonio, Texas and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1902030091
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address300 E HOUSTON STSan Antonio, TX 78205-1816
Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Phone(210) 424-3462
Fax(210) 424-3468
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateMay 5, 2009
Last NPPES UpdateNovember 24, 20255 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1902030091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in TX · 26340
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
300 E HOUSTON ST, San Antonio, TX 78205
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Other Names 1

Doing Business AsWalgreens #12520

Other Identifiers 3

Medicaid466610TX
Other4552243Ncpdp
Medicaid469598TX

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 45D2059419

Walgreens # 12520 · San Antonio, TX
Active · expires Aug 14, 2027
CLIA Number45D2059419
Laboratory TypePharmacy
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorSamir N. Bhakta
Laboratory Phone(210) 424-3462
Laboratory LocationWalgreens # 12520300 E Houston Street, San Antonio, TX 78205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
33 services32 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
13 services13 patients

Other Providers at the Same Location NPPES 3

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

DR. TUNISHA YOUNG CHE PHARMD
Pharmacist
300 E HOUSTON ST
SAN ANTONIO, TX 78205
Bexar County (210) 424-3462
SAMIR BHAKTA
Pharmacist
300 E HOUSTON ST
SAN ANTONIO, TX 78205
Bexar County (210) 317-2255
WALGREEN CO
Pharmacy
300 E HOUSTON ST
SAN ANTONIO, TX 78205
Bexar County (210) 225-2619

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 1902030091. It was assigned to this organization in the NPPES registry on May 5, 2009. The provider is doing business as Walgreens #12520.

Where is Walgreen Co located?

Walgreen Co is located at 300 E Houston St, San Antonio, TX 78205. The listed phone number is (210) 424-3462.

What is Walgreen Co's specialty?

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

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2059419) is associated with this NPI, valid through August 14, 2027. 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 46 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 November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.