WALGREEN CO NPI 1972518959

NPI Information

NPI: 1972518959
Provider Name: WALGREEN CO
Classification: Pharmacy - 333600000X
Entity Type: Organization
:
CLIA Number: 37D2064281
Address: 8917 NE 23RD ST
OKLAHOMA CITY, OK
ZIP 73141
Phone: (405) 769-2712

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NPI Details

WALGREEN CO is a pharmacy in Oklahoma City, OK. 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 1972518959. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

8917 NE 23RD ST
OKLAHOMA CITY, OK
ZIP 73141-245
Phone: (405) 769-2712
Fax: (405) 769-2946

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 37D2064281 - 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)
Administration of influenza virus vaccine (HCPCS:G0008)
Fee covid-19 vac 13 res (HCPCS:0124A)
Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
Influenza vaccine split virus, preservative free (HCPCS:90662)
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)

The enumeration date for this NPI number is 7/29/2006 and was last updated on 6/25/2025.

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		1-5027	OKLAHOMA	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	1002453701	MEDICAID	OKLAHOMA
2	100245370J DME	MEDICAID	OKLAHOMA
3	3724336	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

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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