Walgreen Co
NPI 1417962507 · Pharmacy · Bryan, TX
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Walgreen Co is a Pharmacy organization in Bryan, TX (NPI 1417962507).
Provider details
- NPI number
- 1417962507
- 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
- Community/Retail Pharmacy3336C0003X
Suppliers
- Clinical Medical Laboratory291U00000X
Laboratories
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
159 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 81 | $30 |
| Admn Sarscov2 Vacc 1 Dose90480 | 58 | $40 |
| Administration of Pneumococcal VaccineG0009 | 20 | $28 |
Typical Medicare-allowed amounts for these services range $28–$40 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Walgreens #09574
- Doing business as
- Walgreens #09574
Registry dates
- Enumerated
- 2006-07-29
- Last updated
- 2026-02-09
- Certified
- 2026-02-09
Frequently asked questions
- What is Walgreen Co's NPI number?
- Walgreen Co's National Provider Identifier (NPI) is 1417962507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walgreen Co?
- Walgreen Co is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Walgreen Co located?
- Walgreen Co's practice location on file with NPPES is 610 E Villa Maria Rd, Bryan, TX 77802-5335.
- What is Walgreen Co's phone number?
- The practice phone number listed in the NPPES registry for Walgreen Co is (979) 779-2006.
- Does Walgreen Co accept Medicare?
- Walgreen Co is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Walgreen Co?
- The authorized official listed on Walgreen Co's NPPES record is Jennifer Ponce, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walgreen Co's NPI active?
- Yes — Walgreen Co's NPI (1417962507) is active in the NPPES registry as of the last update on 2026-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.