WALGREEN CO
NPI 1982787396
Pharmacy in Camden, AR

Active since October 23, 2006CLIA 04D2063055 · Waiver
424 CALIFORNIA AVE SW, CAMDEN, AR 71701(870) 836-4157(870) 836-0962 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 28, 2025, May 2, 2022, May 3, 2018 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 1982787396), doing business as Walgreens #15702, is a healthcare organization registered as a pharmacy in Camden, Arkansas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1982787396
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address424 CALIFORNIA AVE SWCamden, AR 71701-4216
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Fax(870) 836-0962
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateOctober 23, 2006
Last NPPES UpdateMarch 28, 20255 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
NPI 1982787396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in AR · AR20119
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 · License AR20119 (AR)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
424 CALIFORNIA AVE SW, Camden, AR 71701

Other Names 1

Doing Business AsWalgreens #15702

Other Identifiers 5

Other0418017Other Id Number-commercial Number
Other136533716AR · Medicaid Dme
OtherP00335262AR · Medicare Railroad
Other10615AR · Medicare Flu
Medicaid134926407AR

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 04D2063055

Walgreens #15702 · Camden, AR
Active · expires Aug 28, 2027
CLIA Number04D2063055
Laboratory TypePharmacy
Certificate Effective DateAugust 29, 2025
Certificate Expiration DateAugust 28, 2027
Laboratory DirectorAustin D. Lambert
Laboratory Phone(870) 836-4157
Laboratory LocationWalgreens #15702424 California Ave SW, Camden, AR 71701
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
20385125
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 3

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

Pharmacist
424 CALIFORNIA AVE SW
CAMDEN, AR 71701
Pharmacist
424 CALIFORNIA AVE SW
CAMDEN, AR 71701
Pharmacist
424 CALIFORNIA AVE SW
CAMDEN, AR 71701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982787396, enumerated as an "organization" on October 23, 2006.

The provider is located at 424 CALIFORNIA AVE SW CAMDEN, AR 71701 and the phone number is (870) 836-4157.

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.