DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WALGREEN CO

MEDICARE: WALGREEN CO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacy031561NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15805998OTHERNYNCPDP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386990323
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALGREEN CO
Provider Business Mailing Address
First Line : 1901 E VOORHEES ST # MS 790
Second Line :
City : DANVILLE
State : IL
Zip : 61834-4515
Country : US
Telephone Number : 847-527-2489
Fax Number : 217-709-2344
Provider Business Practice Location Address
First Line : 655 ROSSVILLE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-1718
Country : US
Telephone Number : 718-967-2955
Fax Number : 718-967-2978
Authorized Official
Title or Position : MANAGER
Name : JENNIFER PONCE
Credential :
Telephone Number : 847-527-2489
Provider Enumeration Date : 07/27/2012
Last Update Date : 06/16/2026

Similar Medicare Providers

1265085294 — FRANCESCA RINI
Practice Location Address:
655 ROSSVILLE AVE
STATEN ISLAND, NY
10309-1718
Practice Phone: 718-967-2955
Practice Fax:
1982219614 — NICOLE MARIE SPARANDERA
Practice Location Address:
655 ROSSVILLE AVE
STATEN ISLAND, NY
10309-1718
Practice Phone: 718-967-2955
Practice Fax:
1114681020 — ANDREA ARCURI PHARMD
Practice Location Address:
655 ROSSVILLE AVE
STATEN ISLAND, NY
10309-1718
Practice Phone: 718-967-2955
Practice Fax: 718-967-2978
1023898798 — DR. DANIELLE MARIE ALTSCHULER
Practice Location Address:
655 ROSSVILLE AVE
STATEN ISLAND, NY
10309-1718
Practice Phone: 718-967-2955
Practice Fax:
1124818224 — CHRISTINA CHRYSOSTOMOU
Practice Location Address:
655 ROSSVILLE AVE
STATEN ISLAND, NY
10309-1718
Practice Phone: 718-967-2955
Practice Fax:
1689537771 — RASHA GHANEM RPH
Practice Location Address:
655 ROSSVILLE AVE
STATEN ISLAND, NY
10309-1718
Practice Phone: 718-967-2955
Practice Fax:

Directions to “WALGREEN CO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.