WALGREEN CO NPI 1225435654

NPI Information

  • NPI: 1225435654
  • Provider Name: WALGREEN CO
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: WALGREENS #12422
  • CLIA Number: 06D2206331
  • Address: 15310 E 104TH AVE
    COMMERCE CITY, CO
    ZIP 80022
  • Phone: (303) 928-4084

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NPI Details

WALGREEN CO is a community/retail pharmacy pharmacy in Commerce City, CO. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. WALGREEN CO NPI is 1225435654. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #12422.

The provider's business location address is:

15310 E 104TH AVE
COMMERCE CITY, CO
ZIP 80022-607
Phone: (303) 928-4084
Fax: (303) 928-4085

The provider's authorized official is Jennifer Ponce .
The authorized official title is Manager and has the following contact phone number (847) 527-2489.

The CLIA number assigned to this NPI record is 06D2206331 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2014 and was last updated on 9/19/2024.

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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyYes

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
197707325MEDICAIDCOLORADO
20623721OTHERCOLORADONCPDP

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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