WALGREEN CO
NPI 1982906632
Pharmacy in New Haven, CT

Active since December 01, 2010
55 PARK ST STE 1A, NEW HAVEN, CT 06511(203) 777-7809(203) 777-7829 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 26, 2026, Apr 21, 2022, Jan 16, 2019 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 1982906632), doing business as Walgreens Specialty Pharmacy #13969, is a healthcare organization registered as a pharmacy in New Haven, Connecticut and active in the NPI registry since December 2010. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1982906632
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address55 PARK ST STE 1ANew Haven, CT 06511-5474
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Fax(203) 777-7829
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateDecember 1, 2010
Last NPPES UpdateJanuary 26, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
NPI 1982906632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in CT · PCY.002192
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
55 PARK ST STE 1A, New Haven, CT 06511

Other Names 1

Doing Business AsWalgreens Specialty Pharmacy #13969

Other Identifiers 2

Other0722252Ncpdp
Medicaid008026235CT

Accepted Insurance

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 11 times for 11 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20385605
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


The following 2 providers are registered at the same or a nearby location.

Pharmacist
55 PARK ST STE 1A
NEW HAVEN, CT 06511
Pharmacist
55 PARK ST STE 1A
NEW HAVEN, CT 06511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982906632, enumerated as an "organization" on December 01, 2010.

The provider is located at 55 PARK ST STE 1A NEW HAVEN, CT 06511 and the phone number is (203) 777-7809.

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.