Organization · Type 2 NPI

Walgreen Co

Pharmacy · Old Bridge, NJ

NPI number 1275775264 Active

Practice location

2601 Highway 516
Old Bridge, NJ 08857-2300

Call (732) 838-0921 Map

Fax (732) 838-0642

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4515

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	28RS00690700 (NJ)
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…

Another provider at this address

Community Distributors, Inc.Pharmacy Old Bridge, NJ NPI 1689666935

Other pharmacy providers in Old Bridge

See all in Old Bridge →

NPI record

NPI: 1275775264
Entity type: Organization (Type 2)
Issued: Apr 6, 2009
Last updated: Aug 25, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #15556 · doing business as
Walgreens #15556 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

Verify this record

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.

Is this your record? How to update it.

About NPI 1275775264

Walgreen Co's National Provider Identifier is 1275775264, issued on Apr 6, 2009. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Old Bridge, NJ. The record was last updated on Aug 25, 2026.