OrganizationActiveAccepts Medicare
Walgreen Co
NPI 1124379367 · Pharmacy · Toa Alta, PR
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1124379367
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- Walgreens Boots Alliance Inc
- Organization subpart
- Yes
- Authorized official
- Jennifer Ponce, Manager(847) 527-2489
Specialties & taxonomies
Suppliers
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Carr Pr 167 Km 14.6
Plaza Los Palacios
Toa Alta, PR 00953
Phone: (787) 545-3191
Fax: (787) 545-3197
Mailing address
1901 E Voorhees St
Danville, IL 61834-4509
Other names (DBA / former)
- Doing business as
- Walgreens #15132
- Doing business as
- Walgreens #15132
Additional practice locations (1)
- Carretera Pr 167 Km 14.6 Barrio OrtizPlaza Los PalaciosToa Alta, PR 00953Phone: (787) 545-3191
Registry dates
- Enumerated
- 2012-09-27
- Last updated
- 2025-03-28
- Certified
- 2025-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.