Walgreen Co
Pharmacy in Sicklerville, NJ. Organization (NPI-2).
NPI number1861668063
StatusActive
Last updated in NPPESAug 22, 2026
Details
- NPI
- 1861668063
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- May 7, 2008
- Certification date
- Aug 22, 2026
- Last updated
- Aug 22, 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 28RS00681400 | NJ | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #10490 (Doing Business As)
Practice location
1601 Kearsley RdSicklerville, NJ 08081-9763
Phone 856-566-2602 · Fax 856-566-2608
Mailing address
1901 E Voorhees StMs 790
Danville, IL 61834-4509
Phone 217-709-2351 · Fax 217-709-2344
Authorized official
Kira Taylor
Manager
2177092351
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 Sicklerville, NJ
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All 5 Pharmacy providers in Sicklerville · All 879 providers in Sicklerville
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