WALGREENS #01255
NPI 1992711394
Pharmacy in Philadelphia, PA

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1992711394. It was assigned to this organization in the NPPES registry on July 31, 2006. The provider is doing business as Walgreens #01255.

Q: What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since July 31, 2006

12050 BUSTLETON AVE, PHILADELPHIA, PA 19116(215) 673-0937(215) 673-0982 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2019, Mar 16, 2017 (2 updates tracked since 2017).

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About Walgreens #01255 NPPES

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

WALGREENS #01255 (NPI 1992711394) is a healthcare organization registered as a pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since July 2006. The organization lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1992711394

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address12050 BUSTLETON AVEPhiladelphia, PA 19116-2108

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344

Phone(215) 673-0937

Fax(215) 673-0982

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialAlyssa SweetenManager · (217) 709-2386

Enumeration DateJuly 31, 2006

Last NPPES UpdateJanuary 22, 20192 updates tracked since enumeration

✔ NPI 1992711394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in PA · PP481366

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

12050 BUSTLETON AVE, Philadelphia, PA 19116

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Other Names 1

Doing Business AsWalgreens #01255

Other Identifiers 2

Other3983079Other Id Number-commercial Number

Medicaid1007669700073PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 6

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

JOHN MARK

Pharmacist