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WALGREEN CO
NPI 1962823351
Pharmacy in College Station, TX

Active since January 02, 2014CLIA 45D2217627 · Waiver
998 WILLIAM D FITCH PKWY, COLLEGE STATION, TX 77845(979) 690-0523(979) 690-7861 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2025, Feb 28, 2023, Apr 29, 2022 and 3 more (6 updates tracked since 2016).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1962823351), doing business as Walgreens #15586, is a healthcare organization registered as a pharmacy in College Station, Texas and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1962823351
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address998 WILLIAM D FITCH PKWYCollege Station, TX 77845-6452
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Phone(979) 690-0523
Fax(979) 690-7861
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJanuary 2, 2014
Last NPPES UpdateAugust 1, 20256 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
✔ NPI 1962823351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
998 WILLIAM D FITCH PKWY, College Station, TX 77845
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Other Names 1

Doing Business AsWalgreens #15586

Other Identifiers 2

Medicaid469240TX
Other5910725TX · Ncpdp

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 45D2217627

Walgreens #15586 · College Station, TX
Active · expires Mar 22, 2027
CLIA Number45D2217627
Laboratory TypePharmacy
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorAimee Lusson
Laboratory Phone(979) 690-0523
Laboratory LocationWalgreens #15586998 William D Fitch Pkwy, College Station, TX 77845
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 Walgreens #15586 carries, from the Medicare DMEPOS supplier directory.

Walgreens #15586

DMEPOS supplier · College Station, TXOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #15586 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)20385845
Medicare Participant SinceMarch 1, 2022
Supplier Location998 William D Fitch PkwyCollege Station, TX 77845
Phone(979) 690-0523
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.

ZHONGCHENG ZHANG
Pharmacist
998 WILLIAM D FITCH PKWY
COLLEGE STATION, TX 77845
Brazos County (979) 690-0523
DR. ALEC FOERSTER
Pharmacist
998 WILLIAM D FITCH PKWY
COLLEGE STATION, TX 77845
Brazos County (979) 690-0523
KYLE RUSSELL DIBLASI
Pharmacist
998 WILLIAM D FITCH PKWY
COLLEGE STATION, TX 77845
Brazos County (979) 690-0523
AHMED M. TAIYEB RPH
Pharmacist
998 WILLIAM D FITCH PKWY
COLLEGE STATION, TX 77845
Brazos County (979) 690-0523
LOUIS BOOYSEN
Pharmacist
998 WILLIAM D FITCH PKWY
COLLEGE STATION, TX 77845
Brazos County (979) 690-0523

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 1962823351. It was assigned to this organization in the NPPES registry on January 2, 2014. The provider is doing business as Walgreens #15586.

Where is Walgreen Co located?

Walgreen Co is located at 998 William D Fitch Pkwy, College Station, TX 77845. The listed phone number is (979) 690-0523.

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 #15586 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 45D2217627) is associated with this NPI, valid through March 22, 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 August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.