DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WALGREEN CO

MEDICARE: WALGREEN CO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy
2291U00000XClinical Medical Laboratory
3332B00000XDurable Medical Equipment & Medical Supplies
4333600000XPharmacy23220TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34535538OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1326055377
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALGREEN CO
Provider Business Mailing Address
First Line : 1901 E VOORHEES ST
Second Line : MS 790
City : DANVILLE
State : IL
Zip : 61834-4515
Country : US
Telephone Number : 847-527-2489
Fax Number : 217-709-2344
Provider Business Practice Location Address
First Line : 1600 JACKSON ST
Second Line :
City : RICHMOND
State : TX
Zip : 77469-3248
Country : US
Telephone Number : 281-342-5219
Fax Number : 281-342-5352
Authorized Official
Title or Position : MANAGER
Name : JENNIFER PONCE
Credential :
Telephone Number : 847-527-2489
Provider Enumeration Date : 08/02/2006
Last Update Date : 02/06/2026

Similar Medicare Providers

1508194671 — EKWERE AKPAFFIONG
Practice Location Address:
1600 JACKSON ST
RICHMOND, TX
77469-3248
Practice Phone: 281-342-5219
Practice Fax:
1144558313 — ALICIA DIAL PHARMD
Practice Location Address:
1600 JACKSON ST
RICHMOND, TX
77469-3248
Practice Phone: 281-342-5219
Practice Fax: 281-342-5352
1609217835 — DR. STEVE PALAKATHARAYIL SOMAN PHARMD
Practice Location Address:
1600 JACKSON ST
RICHMOND, TX
77469-3248
Practice Phone: 281-342-5219
Practice Fax:
1851768808 — RUBAIYAT TABASSUM
Practice Location Address:
1600 JACKSON ST
RICHMOND, TX
77469-3248
Practice Phone: 281-342-5219
Practice Fax:
1811346729 — GLORIA ILOBE IJIE FNP
Practice Location Address:
1600 JACKSON ST
RICHMOND, TX
77469-3248
Practice Phone: 713-461-2915
Practice Fax:
1851832133 — DALE LEINWEBER
Practice Location Address:
1600 JACKSON ST
RICHMOND, TX
77469-3248
Practice Phone: 361-879-5976
Practice Fax:

Directions to “WALGREEN CO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.