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	3336C0003X	Community/Retail Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy	28RS00612800	NJ

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	3144235	OTHER	NJ	NCPDP

General Provider Information

NPI Number	:	1518974492
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	:	2479 CHURCH RD
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753
Country	:	US
Telephone Number	:	732-920-3276
Fax Number	:	732-920-9127

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

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	02/09/2026

Similar Medicare Providers

1649167065 — GINA PETRUCELLI
Practice Location Address:

1134 SYLVAN DR
TOMS RIVER, NJ
08753-3035

Practice Phone: 516-578-9155
Practice Fax:

1992630578 — NICOLE SORIANO
Practice Location Address:

61 SEA BREEZE RD
TOMS RIVER, NJ
08753-2479

Practice Phone: 917-710-0875
Practice Fax:

1669912093 — NAVIGATION SUPPORT COORDINATION LLC
Practice Location Address:

1388 WHITE SPRUCE DR
TOMS RIVER, NJ
08753-2867

Practice Phone: 609-610-6962
Practice Fax:

1902073216 — DR. FELIX ARON GELLER MD
Practice Location Address:

40 BEY LEA RD STE C101
TOMS RIVER, NJ
08753-2900

Practice Phone: 732-831-6094
Practice Fax:

1124249289 — DR. JOSEPH M. SCHAFER D.C.
Practice Location Address:

1868 HOOPER AVE , UNIT #6
TOMS RIVER, NJ
08753-8175

Practice Phone: 732-255-8000
Practice Fax: 732-255-4580

1497471619 — MISS SAMANTHA TURANO PA-C
Practice Location Address:

54 BEY LEA RD STE 3
TOMS RIVER, NJ
08753-2978

Practice Phone: 732-281-0100
Practice Fax: 732-281-0400

1659204576 — BACK AND NECK CENTER OF TOMS RIVER
Practice Location Address:

860 FISCHER BLVD STE 7
TOMS RIVER, NJ
08753-3824

Practice Phone: 732-522-0679
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.