Walgreen Co
Pharmacy · Deer Park, NY
Practice location
1770 Deer Park AveDeer Park, NY 11729-5203
- Phone
- (631) 667-7023
- Fax
- (631) 667-7044
NPI record
- NPI
- 1083629133
- Entity type
- Organization (Type 2)
- Enumeration date
- July 29, 2006
- Last updated
- June 15, 2026
- Certified
- June 15, 2026
- Organization subpart
- Yes
- Parent organization
- Walgreens Holding Company
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X |
24850 | NY |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
— | — |
| Community/Retail Pharmacy | 3336C0003X |
— | — |
Mailing address
1901 E Voorhees StMs 790
Danville, IL 61834-4509
- Phone
- (847) 527-2489
- Fax
- (217) 709-2344
Authorized official
- Name
- Jennifer Ponce
- Title
- Manager
- Phone
- (847) 527-2489
Other names
- Walgreens #05439
- Walgreens #05439
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 1770 Deer Park Ave, Deer Park, NY 11729-5203. The NPI number 1083629133 was assigned on July 29, 2006 and the record was last updated on June 15, 2026.
Walgreen Co lists a license in the registry: #24850 (NY) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Jennifer Ponce, Manager.
Frequently asked questions
What is the NPI number of Walgreen Co?
The NPI number is 1083629133.
What is the phone number of Walgreen Co?
The phone number listed for the practice location is (631) 667-7023.
Where is Walgreen Co located?
1770 Deer Park Ave, Deer Park, NY 11729-5203.
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.
Other Pharmacy providers in Deer Park
- Waldbaum Inc1960 Deer Park Ave
- CVS Albany LLC1944 Deer Park Ave
- Commack Care Pharmacy Corp546 Commack Rd