Organization · Type 2 NPI

Walgreen Co

Pharmacy · New York, NY

NPI number 1790146157 Active

Practice location

29 W 116th St
New York, NY 10026-2508

Call (212) 519-8346 Map

Fax (212) 519-8348

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	034737 (NY)
Community/Retail Pharmacy	3336C0003X	None listed
Compounding Pharmacy	3336C0004X	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

Arvachi Patel, PharmDPharmacist New York, NY NPI 1891306296

Other pharmacy providers in New York

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NPI record

NPI: 1790146157
Entity type: Organization (Type 2)
Issued: Mar 14, 2016
Last updated: Aug 25, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

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Walgreens Specialty Pharmacy #16463 · 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.

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About NPI 1790146157

Walgreen Co's National Provider Identifier is 1790146157, issued on Mar 14, 2016. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in New York, NY. The record was last updated on Aug 25, 2026.