Organization · Type 2 NPI

Walgreen Co

Pharmacy · New Haven, CT

NPI number 1982906632 Active

Practice location

55 Park St Ste 1A
New Haven, CT 06511-5474

Call (203) 777-7809 Map

Fax (203) 777-7829

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	PCY.002192 (CT)
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…

2 other providers at this address

Other pharmacy providers in New Haven

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NPI record

NPI: 1982906632
Entity type: Organization (Type 2)
Issued: Dec 1, 2010
Last updated: Oct 13, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

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Walgreens Specialty Pharmacy #13969 · 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 1982906632

Walgreen Co's National Provider Identifier is 1982906632, issued on Dec 1, 2010. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in New Haven, CT. The record was last updated on Oct 13, 2026.