WALGREEN CO
NPI 1962926139
Pharmacy in Bronx, NY

Active since July 31, 2017CLIA 33D2226510 · Waiver
3590 E TREMONT AVE, BRONX, NY 10465(718) 792-9258(718) 792-5068 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 6, 2022, Sep 27, 2019, Jul 27, 2018 and 3 more (6 updates tracked since 2017).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1962926139), doing business as Walgreens #18990, is a healthcare organization registered as a pharmacy in Bronx, New York and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1962926139
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3590 E TREMONT AVEBronx, NY 10465-2005
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(718) 792-5068
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 31, 2017
Last NPPES UpdateJune 24, 20266 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
NPI 1962926139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in NY · 036373
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
3590 E TREMONT AVE, Bronx, NY 10465

Other Names 1

Doing Business AsWalgreens #18990

Other Identifiers 2

Other5824582NY · Ncpdp
Medicaid05069654NY

Accepted 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 33D2226510

Walgreens #18990 · Bronx, NY
Active · expires Mar 26, 2027
CLIA Number33D2226510
Laboratory TypePharmacy
Certificate Effective DateJune 1, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Zeiad Fakhouri
Laboratory Phone(718) 792-9258
Laboratory LocationWalgreens #189903590 East Tremont Ave, Bronx, NY 10465
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

The provider carries the following medical supplies product categories:

PTAN
20381669
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Other Providers at the Same Location NPPES 7

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

Pharmacist
3590 E TREMONT AVE
BRONX, NY 10465
Pharmacist
3590 E TREMONT AVE
BRONX, NY 10465
Pharmacist
3590 E TREMONT AVE
BRONX, NY 10465
Pharmacist
3590 E TREMONT AVE
BRONX, NY 10465
Pharmacist
3590 E TREMONT AVE
BRONX, NY 10465
Pharmacist
3590 E TREMONT AVE
BRONX, NY 10465
Pharmacist
3590 E TREMONT AVE
BRONX, NY 10465

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962926139, enumerated as an "organization" on July 31, 2017.

The provider is located at 3590 E TREMONT AVE BRONX, NY 10465 and the phone number is (718) 792-9258.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.