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 1417472655

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Waterloo, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
Specialties on file
3

Practice location Address checks out

1929 US Route 20
Waterloo, NY 13165-9453
Phone: (315) 539-5056
Fax: (315) 539-9347
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 036238 (NY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1417472655
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Holding Company
Authorized official Kira Taylor — Manager · (217) 709-2351
Other names Walgreens #19876
NPI enumeratedAugust 9, 2017
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4509

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