Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Walgreen Co

Organization Durable Medical Equipment & Medical Supplies · NPI 1962693085

Walgreen Co provides Durable Medical Equipment & Medical Supplies in Massapequa, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
3

Practice location Address checks out

4360 Sunrise Hwy Unit 1
Massapequa, NY 11758-5334
Phone: (516) 799-1642
Fax: (516) 798-0172
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 028549 (NY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1962693085
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Holding Company
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #09868; Walgreens #09868
NPI enumeratedAugust 5, 2007
Last updated in NPPESOctober 30, 2026
Certification dateOctober 30, 2026
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4515

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