Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Nyack, NY, holding Type 2 (organization) NPI 1275892937 since 2012. The authorized official on file is Jennifer Ponce, Manager.
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| NPI | 1275892937 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 16 ROUTE 59, Nyack, NY, 10960 |
| Phone | 8453581589 |
| Fax | 8453532673 |
| Enumeration date | 2012-05-15 |
| Last updated in NPPES | 2025-10-21 |
Authorized official
| Name | Jennifer Ponce |
|---|---|
| Title | Manager |
| Phone | 8475272489 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 031363 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5805152 | Other | NY | NCPDP |
| 03537111 | Medicaid | NY | — |
Copy-ready billing details
Provider: Walgreen Co NPI: 1275892937 Taxonomy: 333600000X (Pharmacy) Address: 16 ROUTE 59, Nyack, NY, 10960
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1194046060 | Vijaya Kumar Manoharan | Individual | Pharmacist | Nyack, NY |
| 1710269923 | Domy Philip | Individual | Pharmacist | Nyack, NY |
| 1316205586 | Mainuddin Mahmud | Individual | Pharmacist | Nyack, NY |
| 1003166125 | Marilyn Mathew | Individual | Pharmacist | Nyack, NY |
| 1396363180 | Olivia Soliman | Individual | Pharmacist | Nyack, NY |
| 1770270258 | Palak Bassi | Individual | Pharmacist | Nyack, NY |
Verify this record
Cross-check NPI 1275892937 against the authoritative CMS record: view Walgreen Co on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Walgreen Co?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-10-21.