Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Walgreen Co

Organization Durable Medical Equipment & Medical Supplies · NPI 1386990323

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Staten Island, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
3

Practice location Address checks out

655 Rossville Ave
Staten Island, NY 10309-1718
Phone: (718) 967-2955
Fax: (718) 967-2978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 031561 (NY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1386990323
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Holding Company
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #15160; Walgreens #15160
NPI enumeratedJuly 27, 2012
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address1901 E Voorhees St # Ms 790, Danville, IL 61834-4515

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