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 1417199415

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Port Monmouth, New Jersey. Licensed in New Jersey. Registered with an NPI since 2009.

Licensed in
NJ
In the registry since
2009
Specialties on file
3

Practice location Address checks out

375 Highway 36
Port Monmouth, NJ 07758-1359
Phone: (732) 832-7041
Fax: (732) 832-7043
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 28RS00690000 (NJ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1417199415
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #13717; Walgreens #13717
NPI enumeratedApril 6, 2009
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4515

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