Active NPIOrganization

Walgreen Co

Pharmacy in Bloomfield, New Jersey

NPI Number1134644826
Practice location
77-105 Bloomfield Ave, Bloomfield, NJ 07003-5985
Fax
973-259-1713
Last updated
August 25, 2026

Walgreen Co is a healthcare organization based in Bloomfield, NJ. Walgreen Co practices in Bloomfield, NJ. The NPI Number for Walgreen Co is 1134644826 and holds a License No. 28RS00570900 (NJ). The current practice location address for Walgreen Co is 77-105 Bloomfield Ave, Bloomfield, NJ 07003-5985 and can be reached out via phone at 973-259-9290 and via fax at 973-259-1713.

Provider Profile Details

NPI Number
1134644826
Provider Name
Walgreen Co
Provider Entity Type
Organization
Address
77-105 Bloomfield Ave, Bloomfield, NJ 07003-5985
Phone Number
973-259-9290
Fax Number
973-259-1713
Primary Taxonomy
Pharmacy · 333600000X
Organization Subpart
Yes
Parent Organization
Walgreens Holding Company
Authorized Official
Kira Taylor · Manager · 217-709-2351
Other Names
Walgreens #19964 (Doing Business As)
Provider Enumeration Date
August 3, 2017
Last Update Date
August 25, 2026
Certification Date
August 25, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
77-105 Bloomfield Ave
Bloomfield, NJ 07003-5985
Zip
07003-5985
Phone Number
973-259-9290
Fax Number
973-259-1713
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
1901 E Voorhees St
Ms 790
Danville, IL 61834-4509
City
Danville
State
IL
Zip
61834-4509
Phone Number
217-709-2351
Fax Number
217-709-2344

License Information

License Number (2)
28RS00570900
License State (2)
NJ
Taxonomy (2)
Pharmacy · 333600000X · Primary
Taxonomy (3)
Pharmacy, Community/Retail Pharmacy · 3336C0003X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Walgreen Co?

The NPI number of Walgreen Co is 1134644826. It was assigned on August 3, 2017 and is currently active in the NPPES registry.

What is the specialty of Walgreen Co?

Walgreen Co is registered under the primary taxonomy Pharmacy (code 333600000X), licensed in NJ under license number 28RS00570900.

Where does Walgreen Co practice?

The practice location is 77-105 Bloomfield Ave, Bloomfield, NJ 07003-5985. The office can be reached at 973-259-9290 (phone) or 973-259-1713 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134644826 directly on the NPPES registry website.

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