WALGREEN CO
NPI 1932394848
Pharmacy in San Antonio, TX

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1932394848. It was assigned to this organization in the NPPES registry on September 13, 2007. The provider is doing business as Walgreens #11276.

Q: What is Walgreen Co's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on November 20, 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.

Active since September 13, 2007CLIA 45D2019962 · Waiver

502 NEW VALLEY HI DR, SAN ANTONIO, TX 78227(210) 673-0817(210) 673-1939 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2025, Feb 28, 2023, May 22, 2019 and 4 more (7 updates tracked since 2016).

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About Walgreen Co NPPES

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

WALGREEN CO (NPI 1932394848), doing business as Walgreens #11276, is a healthcare organization registered as a pharmacy in San Antonio, Texas and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1932394848

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address502 NEW VALLEY HI DRSan Antonio, TX 78227-4394

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344

Phone(210) 673-0817

Fax(210) 673-1939

Organization SubpartYesParent: Walgreens Boots Alliance

Authorized OfficialJennifer PonceManager · (847) 527-2489

Enumeration DateSeptember 13, 2007

Last NPPES UpdateNovember 20, 20257 updates tracked since enumeration

NPPES CertifiedNovember 20, 2025

✔ NPI 1932394848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in TX · 25717

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 ListedClinical Medical LaboratoryTaxonomy 291U00000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

502 NEW VALLEY HI DR, San Antonio, TX 78227

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Other Names 1

Doing Business AsWalgreens #11276

Other Identifiers 3

Medicaid469612TX

Medicaid466460TX

Other4545933Ncpdp

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 45D2019962

Walgreens #11276 · San Antonio, TX

Active · expires Mar 7, 2027

CLIA Number45D2019962

Laboratory TypePharmacy

Certificate Effective DateMarch 8, 2025

Certificate Expiration DateMarch 7, 2027

Laboratory DirectorChristopher R. Mcmillan

Laboratory Phone(210) 673-0817

Laboratory LocationWalgreens #11276502 New Valley Hi Dr, San Antonio, TX 78227

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 2

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.

25 services24 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.

17 services17 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #11276 carries, from the Medicare DMEPOS supplier directory.

Walgreens #11276

DMEPOS supplier · San Antonio, TXOperated by Walgreen Co

✔

Accepts Medicare assignment

Walgreens #11276 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)20371475

Medicare Participant SinceMarch 1, 2022

Supplier Location502 New Valley Hi DrSan Antonio, TX 78227

Phone(210) 673-0817

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 6

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

IGNACIO FARIAS PHARMD

Pharmacist