NPIMap

Organization Active NPI

Walgreen Co

  • Community/Retail Pharmacy
  • Shaker Heights, OH
National Provider Identifier
1497762439
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WALGREEN CO
Practice address
20145 Van Aken Blvd
Shaker Heights, OH 44122-3618
Phone
(216) 921-6042
Fax
(216) 921-3677
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Virginia Gonzalez
Title
Supervisor
Phone
(217) 554-8964

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 21555100 OH
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

20145 Van Aken Blvd
Shaker Heights, OH 44122-3618

Mailing address

20145 Van Aken Blvd
Shaker Heights, OH 44122-3618

Other identifiers 2

IdentifierTypeStateIssuer
2610295MedicaidOH
3673995OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • WALGREEN DRUG STORE Doing business as

National Provider Directory

National Provider Directory

Member of 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1497762439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20145 VAN AKEN BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20145 VAN AKEN BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223618",
            "telephone_number": "216-921-6042",
            "fax_number": "216-921-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEN CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "217-554-8964"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "21555100",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2610295",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3673995",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALGREEN DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.