Walgreen Co

Pharmacy · Bronx, NY

Organization Active NPI

NPI number 1063939866

Practice location

3480 Jerome Ave
Bronx, NY 10467-1002
Phone
(718) 231-2609
Fax
(718) 881-3089

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NPI record

NPI
1063939866
Entity type
Organization (Type 2)
Enumeration date
August 23, 2017
Last updated
June 23, 2026
Certified
June 23, 2026
Organization subpart
Yes
Parent organization
Walgreens Holding Company

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 036363 NY
Durable Medical Equipment & Medical Supplies 332B00000X — —
Community/Retail Pharmacy 3336C0003X — —

Mailing address

1901 E Voorhees St
Ms 790
Danville, IL 61834-4509
Phone
(217) 709-2351
Fax
(217) 709-2344

Authorized official

Name
Kira Taylor
Title
Manager
Phone
(217) 709-2351

Other names

  • Walgreens #17665

About Walgreen Co

Walgreen Co is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 3480 Jerome Ave, Bronx, NY 10467-1002. The NPI number 1063939866 was assigned on August 23, 2017 and the record was last updated on June 23, 2026.

Walgreen Co lists a license in the registry: #036363 (NY) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Kira Taylor, Manager.

Frequently asked questions

What is the NPI number of Walgreen Co?

The NPI number is 1063939866.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (718) 231-2609.

Where is Walgreen Co located?

3480 Jerome Ave, Bronx, NY 10467-1002.

What is the taxonomy code for Walgreen Co?

The primary taxonomy code is 333600000X – Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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