Organization · Type 2 NPI

Walgreen Co

Pharmacy · Honolulu, HI

NPI number 1255756573 Active

Practice location

1520 Liliha St Ste 201
Honolulu, HI 96817-3563

Call (808) 533-6990 Map

Fax (808) 524-3262

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4509

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	PHY850 (HI)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: 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 lo…

3 other providers at this address

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NPI record

NPI: 1255756573
Entity type: Organization (Type 2)
Issued: Feb 24, 2014
Last updated: Aug 27, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

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Walgreens Specialty Pharmacy #16100 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255756573

Walgreen Co's National Provider Identifier is 1255756573, issued on Feb 24, 2014. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Honolulu, HI. The record was last updated on Aug 27, 2026.