Walgreen Co
Pharmacy in San Antonio, TX. Organization (NPI-2).
NPI number1013714971
StatusActive
Last updated in NPPESFeb 27, 2025
Details
- NPI
- 1013714971
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Feb 27, 2025
- Certification date
- Feb 27, 2025
- Last updated
- Feb 27, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Valero Pharmacy (Doing Business As)
Practice location
1 Valero Way Ste 223San Antonio, TX 78249-1616
Phone 847-527-2489
Mailing address
1901 E Voorhees St # Ms 790Danville, IL 61834-4515
Phone 217-709-2494 · Fax 217-709-2344
Authorized official
Jennifer Ponce
Manager
8475272489
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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