WALGREEN CO NPI 1124542303

NPI Information

  • NPI: 1124542303
  • Provider Name: WALGREEN CO
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: WALGREENS #19707
  • CLIA Number: 31D2278998
  • Address: 1723 PACIFIC AVE
    ATLANTIC CITY, NJ
    ZIP 08401
  • Phone: (609) 345-1158

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NPI Details

WALGREEN CO is a pharmacy in Atlantic City, NJ. The provider is 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 located. WALGREEN CO NPI is 1124542303. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #19707.

The provider's business location address is:

1723 PACIFIC AVE
ATLANTIC CITY, NJ
ZIP 08401-808
Phone: (609) 345-1158
Fax: (609) 345-2740

The provider's authorized official is Alyssa Sweeten .
The authorized official title is Manager and has the following contact phone number (217) 709-2386.

The CLIA number assigned to this NPI record is 31D2278998 - other - health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2017 and was last updated on 10/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacy28RS00500900NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10614637MEDICAIDNEW JERSEY
23154440OTHERNEW JERSEYNCPDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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