OrganizationActiveAccepts Medicare
Walgreen Co
NPI 1215707807 · Pharmacy · Gretna, NE
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1215707807
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- Walgreens Boots Alliance Inc
- Organization subpart
- Yes
- Authorized official
- Virginia Garza, Director(217) 709-2364
Specialties & taxonomies
Suppliers
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
10819 S 192nd Ave
Gretna, NE 68028-3646
Phone: (531) 213-3628
Fax: (531) 213-3629
Street-level locationGet directions
Mailing address
1901 E Voorhees St # Ms 790
Danville, IL 61834-4509
Other names (DBA / former)
- Doing business as
- Walgreens #21446
- Doing business as
- Walgreens #21446
Registry dates
- Enumerated
- 2024-01-04
- Last updated
- 2024-04-08
- Certified
- 2024-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.