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Walgreen Co

Pharmacy in Hayward, CA. Organization (NPI-2).

NPI number1487669727
StatusActive
Last updated in NPPESJun 4, 2026

Details

NPI
1487669727
Entity type
Organization (NPI-2)
Legal business name
Walgreen Co
Organization subpart
Yes
Enumeration date
Jul 29, 2006
Certification date
Jun 4, 2026
Last updated
Jun 4, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · DME SUPPLIER - PHARMACY
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 codeDescriptionLicenseStatePrimary
333600000X PharmacyPHY36136CAYes
332B00000X Durable Medical Equipment & Medical Supplies––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Walgreens #02306 (Doing Business As)

Practice location

1138 W Tennyson Rd
Hayward, CA 94544-4422

Phone 510-293-9031

Mailing address

1901 E Voorhees St
Ms 790
Danville, IL 61834-4515

Phone 847-527-2489 · 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.

Other Pharmacy providers in Hayward, CA

All 11 Pharmacy providers in Hayward · All 4,732 providers in Hayward

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