WALGREEN CO NPI 1639184609

NPI Information

NPI: 1639184609
Provider Name: WALGREEN CO
Classification: Pharmacy - 333600000X
Entity Type: Organization
:
CLIA Number: 50D2060970
Address: 6330 35TH AVE SW
SEATTLE, WA
ZIP 98126
Phone: (206) 938-2759

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NPI Details

WALGREEN CO is a pharmacy in Seattle, WA. 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 1639184609. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

6330 35TH AVE SW
SEATTLE, WA
ZIP 98126-004
Phone: (206) 938-2759

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 50D2060970 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
Fee covid-19 vac 13 res (HCPCS:0124A)
Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
Administration of influenza virus vaccine (HCPCS:G0008)
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
Influenza vaccine split virus, preservative free (HCPCS:90662)
Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
Adm sarscv2 30mcg trs-sucr 2 (HCPCS:0052A)

The enumeration date for this NPI number is 7/29/2006 and was last updated on 6/17/2025.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	3336C0003X	Pharmacy	Community/Retail Pharmacy			No
3	333600000X	Pharmacy		CF56312	WASHINGTON	Yes

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
1	4926715	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	6021893	MEDICAID	WASHINGTON

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: 3/30/2025

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