Organization · Type 2 NPI

Walgreen Co

Pharmacy · New York, NY

NPI number 1558475129 Active

Practice location

298 1st Ave
New York, NY 10009-1850

Call (212) 777-0740 Map

Fax (212) 777-0747

Mailing address

1901 E Voorhees St, Mail Stop #790
Danville, IL 61834-4509

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	027965 (NY)
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…

7 other providers at this address

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NPI record

NPI: 1558475129
Entity type: Organization (Type 2)
Issued: Aug 19, 2006
Last updated: Jun 15, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #10135 · doing business as
Walgreens #10135 · doing business as

Authorized official

Virginia Garza
Manager
(217) 709-2364

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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 1558475129

Walgreen Co's National Provider Identifier is 1558475129, issued on Aug 19, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in New York, NY. The record was last updated on Jun 15, 2026.