Organization · Type 2 NPI

Walgreen Co

Pharmacy · New York, NY

NPI number 1912202201 Active

Practice location

2069 Broadway
New York, NY 10023-2803

Call (212) 799-1067 Map

Fax (212) 799-2059

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	030557 (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…

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NPI record

NPI: 1912202201
Entity type: Organization (Type 2)
Issued: Jan 18, 2011
Last updated: Aug 26, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Duane Reade #14486 · doing business as
Duane Reade #14486 · 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 1912202201

Walgreen Co's National Provider Identifier is 1912202201, issued on Jan 18, 2011. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in New York, NY. The record was last updated on Aug 26, 2026.