Walgreen Co – Pharmacy in Missouri City, TX

Key facts

NPI: 1124035134
Entity type: Organization (NPI type 2)
Primary specialty: Pharmacy 333600000X
License: 16433 (TX)
Legal business name: WALGREEN CO
Practice address: 4790 Lexington Blvd
Missouri City, TX 77459-2800
Phone: (281) 499-5257
Fax: (281) 499-3772
NPI assigned: Aug 2, 2006
Organization subpart: Yes
Parent organization (as reported): WALGREENS BOOTS ALLIANCE INC

Authorized official

Name: Jennifer Ponce
Title: Manager
Phone: (847) 527-2489

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Walgreen Co Pharmacy · Lubbock, TX · NPI 1114932001

NPD tax ID
Walgreen Co Pharmacy · Arlington, TX · NPI 1114932019

NPD tax ID
Walgreen Co Pharmacy · Southlake, TX · NPI 1114932100

NPD tax ID
Walgreen Co Pharmacy · Sugar Land, TX · NPI 1114932167

NPD tax ID
Walgreen Co Pharmacy · Fort Worth, TX · NPI 1114932183

NPD tax ID
Walgreen Co Pharmacy · Edinburg, TX · NPI 1114932191

NPD tax ID
Walgreen Co Pharmacy · Spring, TX · NPI 1114932274

NPD tax ID
Walgreen Co Pharmacy · Austin, TX · NPI 1124033022

NPD tax ID
Walgreen Co Pharmacy · Weatherford, TX · NPI 1124033105

NPD tax ID
Walgreen Co Pharmacy · Flower Mound, TX · NPI 1124033162

NPD tax ID
Walgreen Co Pharmacy · Midland, TX · NPI 1124033170

NPD tax ID
Walgreen Co Pharmacy · Katy, TX · NPI 1124034582

NPD tax ID
Walgreen Co Pharmacy · Missouri City, TX · NPI 1124035167

NPD tax ID
Walgreen Co Pharmacy · Copperas Cove, TX · NPI 1124211065

NPD tax ID
Walgreen Co Pharmacy · Greenville, TX · NPI 1124705967

NPD tax ID
Walgreen Co Pharmacy · Longview, TX · NPI 1134134034

NPD tax ID
Walgreen Co Pharmacy · Jasper, TX · NPI 1134134042

NPD tax ID
Walgreen Co Pharmacy · Lubbock, TX · NPI 1134134109

NPD tax ID
Walgreen Co Pharmacy · Beaumont, TX · NPI 1134134182

NPD tax ID
Walgreen Co Pharmacy · Houston, TX · NPI 1134134232

NPD tax ID
Walgreen Co Pharmacy · The Woodlands, TX · NPI 1134134299

NPD tax ID
Walgreen Co Pharmacy · Houston, TX · NPI 1134136153

NPD tax ID
Walgreen Co Pharmacy · Belton, TX · NPI 1134167034

NPD tax ID
Walgreen Co Pharmacy · Baytown, TX · NPI 1134361918

NPD tax ID

Member of 16

Organizations this organization is a member of, according to the National Provider Directory.

Walgreens Specialty Pharmacy LLC Pharmacy · Frisco, TX · NPI 1851463087

NPD member Member Of
Cypress Home Medical Inc Home Infusion Therapy Pharmacy · Fort Myers, FL · NPI 1437188315

NPD member Member Of
Healthcare Options of Minnesota, Inc. Home Infusion Therapy Pharmacy · Sauk Rapids, MN · NPI 1891746111

NPD member Member Of
I.V. Associates, Inc. Home Infusion Therapy Pharmacy · Eatontown, NJ · NPI 1811940810

NPD member Member Of
Mednow Infusion, LLC Home Infusion Agency · Meridian, ID · NPI 1225645526

NPD member Member Of
Option Care at Legacy Health LLC Home Infusion Therapy Pharmacy · Bend, OR · NPI 1174875017

NPD member Member Of
Option Care Enterprises, Inc. Home Infusion Therapy Pharmacy · Chantilly, VA · NPI 1679896989

NPD member Member Of
Option Care Home Care, Inc. Home Infusion Agency · Wauwatosa, WI · NPI 1396343471

NPD member Member Of
Option Care Infusion Services, LLC Home Infusion Therapy Pharmacy · Nashville, TN · NPI 1326279746

NPD member Member Of
TSL Inc Home Infusion Therapy Pharmacy · Merrillville, IN · NPI 1942269956

NPD member Member Of
Walgreen Co Pharmacy · Wilmington, DE · NPI 1093738643

NPD member Member Of
Walgreen Co Pharmacy · Phoenix, AZ · NPI 1356356695

NPD member Member Of
Walgreen Co Pharmacy · Rio Rancho, NM · NPI 1528073426

NPD member Member Of
Walgreen Co Pharmacy · South Chicago Heights, IL · NPI 1538175096

NPD member Member Of
Walgreen Medical Supply LLC Durable Medical Equipment & Medical Supplies · Mokena, IL · NPI 1215195730

NPD member Member Of
Walgreens Mail Service LLC Mail Order Pharmacy · Tempe, AZ · NPI 1164437406

NPD member Member Of

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Amal Abdillahi Pharmacist · Missouri City, TX · NPI 1811856586

NPD (past)
Meha Patel Pharmacist · Missouri City, TX · NPI 1104154582

NPD (past)
Mary Ellen F Teletzke, RPH. Pharmacist · Missouri City, TX · NPI 1184953994

NPD (past)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
45D2215470	Walgreens #03419 4790 Lexington Boulevard, Missouri City, TX 77459	Certificate of waiver	Mar 2, 2027

Medicare medical equipment & supply locations

Supplier	Supplies	Medicare assignment
Walgreens #03419 4790 Lexington Blvd, Missouri City, TX 77459-2800 · (281) 499-5257	Epoetin\|Immunosuppressive Drugs\|Infusion Drugs\|Nebulizer Drugs\|Oral Anticancer Drugs\|Oral Antiemetic Drugs\|Blood Glucose Monitors/Supplies (Non-Mail Order)	Accepts assignment Participating since Mar 1, 2022

Medicare participation

Medicare fee-for-service enrollment: Enrolled (3 enrollments) in TX

All facility ownership & control disclosures 77

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facility	Type	Role	Since
At Home Care Mechanicsville, VA · CCN 497493	Home health agency	5% Or Greater Indirect Ownership Interest (29%)	Apr 16, 2021
Adoration Home Health and Hospice Care East Tennessee Cleveland, TN · CCN 447279	Home health agency	5% Or Greater Indirect Ownership Interest (29%)	May 17, 2019
Adoration Home Health Williamsburg, VA · CCN 497600	Home health agency	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
Adoration Home Health Mobile, AL · CCN 017066	Home health agency	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
Adoration Home Health Care Mississippi Cleveland, MS · CCN 257305	Home health agency	5% Or Greater Indirect Ownership Interest (29%)	May 17, 2019
Adoration Home Health San Antonio, TX · CCN 677271	Home health agency	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
Option Care Itasca, IL · CCN 147536	Home health agency	5% Or Greater Direct Ownership Interest (49%)	Mar 31, 2015
Adoration Home Health Lakewood, CO · CCN 067529	Home health agency	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
Adoration Home Health Pueblo, CO · CCN 067528	Home health agency	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
Adoration Home Health LLC Madison, TN · CCN 447581	Home health agency	5% Or Greater Indirect Ownership Interest (29%)	Mar 5, 2019
Adoration Home Health Carmel, IN · CCN 157691	Home health agency	5% Or Greater Indirect Ownership Interest (29%)	Apr 16, 2021
@Heart Homecare Virginia Beach, VA · CCN 497744	Home health agency	5% Or Greater Indirect Ownership Interest (29%)	Aug 1, 2022
Adoration Home Health Grand Junction, CO · CCN 067573	Home health agency	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
Adoration Home Health Nashville South Brentwood, TN · CCN 447425	Home health agency	5% Or Greater Indirect Ownership Interest (29%)	Jan 1, 2021
Adoration Home Health Martin Martin, TN · CCN 447225	Home health agency	5% Or Greater Indirect Ownership Interest (20%)	Jan 13, 2025
Adoration Home Health McMinnville McMinnville, TN · CCN 447316	Home health agency	5% Or Greater Indirect Ownership Interest (29%)	Jan 1, 2021
Adoration Home Health Kingsport, TN · CCN 447183	Home health agency	5% Or Greater Indirect Ownership Interest (29%)	Mar 1, 2020
Adoration Home Health High Point, NC · CCN 347125	Home health agency	5% Or Greater Indirect Ownership Interest (29%)	Mar 1, 2020
Adoration Home Health Elizabethtown, NC · CCN 347097	Home health agency	5% Or Greater Indirect Ownership Interest (29%)	Mar 1, 2020
Adoration Home Health Mebane, NC · CCN 347122	Home health agency	5% Or Greater Indirect Ownership Interest (29%)	Mar 1, 2020
Adoration Home Health Rock Hill, SC · CCN 427141	Home health agency	5% Or Greater Indirect Ownership Interest (29%)	Mar 1, 2020
Adoration Home Health Albemarle, NC · CCN 347071	Home health agency	5% Or Greater Indirect Ownership Interest (29%)	Jan 1, 2021
Adoration Home Health and Hospice Nags Head, NC · CCN 347074	Home health agency	5% Or Greater Indirect Ownership Interest (20%)	Dec 30, 2024
Adoration Home Health Baltimore Baltimore, MD · CCN 217134	Home health agency	5% Or Greater Indirect Ownership Interest (20%)	Jan 9, 2025
Adoration Home Health Annandale, VA · CCN 497638	Home health agency	5% Or Greater Indirect Ownership Interest (29%)	Aug 20, 2023
Adoration Home Health Marlboro Upper Marlboro, MD · CCN 217047	Home health agency	5% Or Greater Indirect Ownership Interest (20%)	Aug 20, 2023
Adoration Home Health Lemoyne, PA · CCN 398372	Home health agency	5% Or Greater Indirect Ownership Interest (20%)	Mar 1, 2023
Adoration Home Health Pensacola, FL · CCN 687355	Home health agency	5% Or Greater Indirect Ownership Interest (20%)	Feb 17, 2023
Adoration Home Health Plymouth, NC · CCN 347008	Home health agency	5% Or Greater Indirect Ownership Interest (29%)	Sep 1, 2024
Adoration Home Health Care Rhode Island Providence, RI · CCN 417045	Home health agency	5% Or Greater Indirect Ownership Interest (20%)	Sep 1, 2025
Hospice of North Alabama, LLC Huntsville, AL · CCN 011622	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
Hospice Home Care of Pine Bluff, LLC White Hall, AR · CCN 041519	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Nov 1, 2021
Adoration Home Health and Hospice Care Mississippi Yazoo City, MS · CCN 251602	Hospice	5% Or Greater Indirect Ownership Interest (29%)	May 17, 2019
Hospice Home Care of Monticello Monticello, AR · CCN 041523	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Nov 1, 2021
Springhill Home Health & Hospice Mobile, AL · CCN 011642	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
Compassioncare Hospice Las Vegas, NV · CCN 291516	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
Grane Hospice Care Pittsburgh, PA · CCN 391674	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Apr 16, 2021
Oasis Healthcare, Inc. Birmingham, AL · CCN 011660	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Apr 16, 2021
Grane Hospice Care Altoona, PA · CCN 391693	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
Allay Home & Hospice Brookfield, WI · CCN 521583	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Sep 2, 2021
Hospice Home Care, LLC Little Rock, AR · CCN 041524	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Nov 1, 2021
Adoration Hospice Care Mississippi Cleveland, MS · CCN 251603	Hospice	5% Or Greater Indirect Ownership Interest (29%)	May 17, 2019
Adoration Home Health and Hospice Care East Tennessee Cleveland, TN · CCN 441557	Hospice	5% Or Greater Indirect Ownership Interest (29%)	May 17, 2019
Apreva Hospice San Diego, CA · CCN 551557	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Jan 30, 2024
Ohio Valley Hospice Beavercreek, OH · CCN 361647	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Apr 16, 2021
Spring Valley Hospice, LLC Olive Branch, MS · CCN 251658	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Nov 1, 2021
Adoration Hospice Carmel, IN · CCN 151599	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Apr 16, 2021
Grane Hospice Care Camp Hill, PA · CCN 391732	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
Athc - Hospice, LLC Mechanicsville, VA · CCN 491606	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
All Saints Hospice Mansura, LA · CCN 191677	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Nov 1, 2021
Sacred Journey Hospice, LLC McDonough, GA · CCN 111599	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Dec 9, 2020
Embrace Hospice Austin, TX · CCN 451605	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
Grane Hospice Care King of Prussia, PA · CCN 391765	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Apr 16, 2021
Abode Hospice of Colorado Lakewood, CO · CCN 061588	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Apr 16, 2021
Abode Hospice of Colorado Colorado Springs, CO · CCN 061590	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Apr 16, 2021
Hospice of the Midwest LLC Johnston, IA · CCN 161609	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Apr 16, 2021
Adoration Hospice Madison, TN · CCN 441592	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Mar 5, 2019
Athc - Hospice, LLC Williamsburg, VA · CCN 491619	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
Hospice of the Midwest Woodbury, MN · CCN 241600	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
Compassioncare Hospice Reno Reno, NV · CCN 291550	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Apr 16, 2021
@Heart Hospice Virginia Beach, VA · CCN 491625	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Aug 1, 2022
Embrace Hospice Temple, TX · CCN 671702	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
Spring Valley Hospice of Tupelo Tupelo, MS · CCN 251702	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Nov 1, 2021
Abode Hospice of Colorado Grand Junction, CO · CCN 061605	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Apr 16, 2021
Embrace Hospice San Antonio, TX · CCN 671676	Hospice	5% Or Greater Indirect Ownership Interest	Mar 5, 2019
Sacred Journey Hospice, LLC Lawrenceville, GA · CCN 851509	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Dec 9, 2020
Athc - Hospice, LLC Colonial Heights, VA · CCN 491631	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
Embrace Hospice New Braunfels, TX · CCN 741721	Hospice	5% Or Greater Indirect Ownership Interest	Mar 5, 2019
Athc - Hospice, LLC Fredericksburg, VA · CCN 491636	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Apr 16, 2021
Abode Hospice of Colorado Pueblo, CO · CCN 061616	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Apr 16, 2021
Generations Hospice Fond Du Lac, WI · CCN 521590	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Sep 2, 2021
Adoration Hospice Oxford, AL · CCN 011629	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Jun 1, 2021
Adoration Home Health and Hospice Nags Head, NC · CCN 341584	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Sep 1, 2021
Sacred Journey Hospice, LLC Dalton, GA · CCN 851562	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Dec 9, 2020
Hospice of the Midwest Sioux City, IA · CCN 161617	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Apr 16, 2021
Adoration Hospice Baltimore, MD · CCN 211545	Hospice	5% Or Greater Indirect Ownership Interest (29%)	Aug 20, 2023
Haven Hospice Gainesville, FL · CCN 101515	Hospice	5% Or Greater Indirect Ownership Interest (20%)	Sep 1, 2024

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20070917000779	TX	Part B Supplier - Centralized Flu Biller	0941278253	This NPI is an additional NPI on the enrollment
O20100930038231	TX	DME Supplier - Pharmacy	0941278253	Practice locations: Missouri City, TX
O20201015002519	TX	Part B Supplier - Independent Clinical Laboratory	0941278253	This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family: Walgreen Co (8,684 organizations share this tax ID)
Part of: Walgreens Holding Company

Locations

4790 Lexington Blvd
Missouri City, TX 77459
Phone (281) 499-5257

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Medical Laboratory	291U00000X
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy	333600000X	16433	TX	Yes
Community/Retail Pharmacy	3336C0003X

Addresses

Primary practice location

4790 Lexington Blvd
Missouri City, TX 77459-2800

Mailing address

1901 E Voorhees St
Ms 790
Danville, IL 61834-4515
Phone (847) 527-2489

Other identifiers

Identifier	Type	State	Issuer
463788	Medicaid	TX
4593768	Other		OTHER ID NUMBER-COMMERCIAL NUMBER
469307	Medicaid	TX

Other names

WALGREENS #03419 Doing business as

Other providers in Missouri City, TX

All providers in Missouri City, TX · Pharmacy in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.