- Practice location
- 122 Main St, Madison, NJ 07940-2174
- Phone
- 973-236-0195
- Fax
- 973-236-0268
- Last updated
- August 24, 2026
Walgreen Co is a healthcare organization based in Madison, NJ. Walgreen Co practices in Madison, NJ. The NPI Number for Walgreen Co is 1407108087 and holds a License No. 28RS00723100 (NJ). The current practice location address for Walgreen Co is 122 Main St, Madison, NJ 07940-2174 and can be reached out via phone at 973-236-0195 and via fax at 973-236-0268.
Provider Profile Details
- NPI Number
- 1407108087
- Provider Name
- Walgreen Co
- Provider Entity Type
- Organization
- Address
- 122 Main St, Madison, NJ 07940-2174
- Phone Number
- 973-236-0195
- Fax Number
- 973-236-0268
- Primary Taxonomy
- Pharmacy · 333600000X
- Organization Subpart
- Yes
- Parent Organization
- Walgreens Holding Company
- Authorized Official
- Jennifer Ponce · Manager · 847-527-2489
- Other Names
- Walgreens #13610 (Doing Business As)
- Provider Enumeration Date
- October 8, 2012
- Last Update Date
- August 24, 2026
- Certification Date
- August 24, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 122 Main St
Madison, NJ 07940-2174 - City
- Madison
- State
- New Jersey
- Zip
- 07940-2174
- Phone Number
- 973-236-0195
- Fax Number
- 973-236-0268
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
- 847-527-2489
- Fax Number
- 217-709-2344
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (2)
- 28RS00723100
- License State (2)
- NJ
- Taxonomy (2)
- Pharmacy · 333600000X · Primary
- Taxonomy (3)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 1407108087. It was assigned on October 8, 2012 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 28RS00723100.
Where does Walgreen Co practice?
The practice location is 122 Main St, Madison, NJ 07940-2174. The office can be reached at 973-236-0195 (phone) or 973-236-0268 (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 1407108087 directly on the NPPES registry website.