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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy	PP481959	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3992511	OTHER		NCPDP

General Provider Information

NPI Number	:	1851523351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALGREEN CO

Provider Business Mailing Address
First Line	:	1901 E VOORHEES ST
Second Line	:	MS 790
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	:	1375 FORTY FOOT RD
Second Line	:
City	:	LANSDALE
State	:	PA
Zip	:	19446-4459
Country	:	US
Telephone Number	:	215-362-4067
Fax Number	:	215-855-4529

Authorized Official
Title or Position	:	MANAGER
Name	:	JENNIFER PONCE
Credential	:
Telephone Number	:	847-527-2489

Provider Enumeration Date	:	08/17/2009
Last Update Date	:	05/29/2026

Similar Medicare Providers

1477835205 — MR. MINESH K PATEL RPH
Practice Location Address:

1375 FORTY FOOT RD
LANSDALE, PA
19446-4459

Practice Phone: 215-362-4067
Practice Fax: 215-855-4529

1902982028 — WALGREEN CO
Practice Location Address:

890 W MAIN STREET
LANSDALE, PA
19446-2056

Practice Phone: 215-393-1672
Practice Fax:

1841129319 — DIVINE SUPREME HOME CARE LLC
Practice Location Address:

1039 WALNUT LN
LANSDALE, PA
19446-4505

Practice Phone: 973-704-1838
Practice Fax:

1477483667 — MARIA ARISTOKLIS
Practice Location Address:

1000 WALNUT ST STE 202
LANSDALE, PA
19446-1140

Practice Phone: 267-263-2246
Practice Fax:

1629908702 — ELIZABETH ANNE CAPECCI
Practice Location Address:

730 S BROAD ST
LANSDALE, PA
19446-5211

Practice Phone: 215-855-9871
Practice Fax:

1730019548 — JOSEPH WEEKS JR.
Practice Location Address:

608 E MAIN ST
LANSDALE, PA
19446-2936

Practice Phone: 267-647-9559
Practice Fax: 215-362-8615

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.