Walgreen Co

Organization Active NPI Pharmacy · Lawton, OK

NPI 1790792679 · NPPES record last updated Nov 24, 2025

Key facts

NPI
1790792679
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
License
3-4472 (OK)
Legal business name
WALGREEN CO
Practice address
6701 NW Cache Rd
Lawton, OK 73505-2701
Phone
(580) 536-4621
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.

Member of 16

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

Practitioners 3

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

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 numberLaboratoryCertificateExpires
37D2288155Walgreens #06199
6701 NW Cache Rd, Lawton, OK 73505
Certificate of waiverAug 21, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Walgreens #06199
6701 NW Cache Rd, Lawton, OK 73505-2701 · (580) 536-4621
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 (2 enrollments) in TX, OK

All facility ownership & control disclosures 77

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

FacilityTypeRoleSince
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 IDStateProvider typePAC IDDetails
O20070917000779 TX Part B Supplier - Centralized Flu Biller 0941278253 This NPI is an additional NPI on the enrollment
O20100930051045 OK DME Supplier - Pharmacy 0941278253 Practice locations: Lawton, OK

National Provider Directory

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 3-4472 OK Yes
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

6701 NW Cache Rd
Lawton, OK 73505-2701

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
3722623OtherOTHER ID NUMBER-COMMERCIAL NUMBER
100246480AMedicaidOK
100246480B DMEMedicaidOK

Other names

  • WALGREENS #06199 Doing business as

Other providers in Lawton, OK

All providers in Lawton, OK · Pharmacy in Oklahoma

Sources for this page

Verify at the official NPI Registry.