WALGREEN CO
NPI 1972519338
Pharmacy in Tempe, AZ

Active since July 31, 2006CLIA 03D2064506 · Waiver
925 W BASELINE RD STE 108, TEMPE, AZ 85283(480) 820-1990 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 27, 2025, Oct 25, 2023, Mar 1, 2022 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 1972519338), doing business as Walgreens #02398, is a healthcare organization registered as a pharmacy in Tempe, Arizona and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 8, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1972519338
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address925 W BASELINE RD STE 108Tempe, AZ 85283-1100
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJuly 31, 2006
Last NPPES UpdateMarch 27, 20255 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
NPI 1972519338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in AZ · 2142
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
925 W BASELINE RD STE 108, Tempe, AZ 85283

Other Names 1

Doing Business AsWalgreens #02398

Other Identifiers 2

Other0317164Other Id Number-commercial Number
Medicaid307761AZ

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 03D2064506

Walgreens 02398 · Tempe, AZ
Active · expires Aug 8, 2027
CLIA Number03D2064506
Laboratory TypePharmacy
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorHazim T. Nasaredden
Laboratory Phone(480) 820-1990
Laboratory LocationWalgreens 02398925 W Baseline Rd Ste 108, Tempe, AZ 85283
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Pharmacist
925 W BASELINE RD STE 108
TEMPE, AZ 85283
Pharmacist
925 W BASELINE RD STE 108
TEMPE, AZ 85283
Pharmacist
925 W BASELINE RD STE 108
TEMPE, AZ 85283

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972519338, enumerated as an "organization" on July 31, 2006.

The provider is located at 925 W BASELINE RD STE 108 TEMPE, AZ 85283 and the phone number is (480) 820-1990.

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.