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
1	3336C0003X	Community/Retail Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy	09456	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659426153
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	:	10 PITTS SCHOOL RD NW
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-0302
Country	:	US
Telephone Number	:	704-795-0091
Fax Number	:	704-795-0106

Authorized Official
Title or Position	:	MANAGER
Name	:	JENNIFER PONCE
Credential	:
Telephone Number	:	847-527-2489

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	01/12/2026

Similar Medicare Providers

1164404406 — DR. AMY VREUGDENHIL TUCKER PHARM.D.
Practice Location Address:

10 PITTS SCHOOL RD NW
CONCORD, NC
28027-0302

Practice Phone: 704-795-0051
Practice Fax:

1629303128 — MRS. JULIE B RAGAN RPH
Practice Location Address:

10 PITTS SCHOOL RD NW
CONCORD, NC
28027-0302

Practice Phone: 704-795-0091
Practice Fax: 704-795-0106

1255768636 — JAELYN DE'JANAE JONES PHARMD
Practice Location Address:

10 PITTS SCHOOL RD NW
CONCORD, NC
28027-0302

Practice Phone: 732-795-0091
Practice Fax:

1477954170 — MERCE J WHITCOMBE PHARMD
Practice Location Address:

10 PITTS SCHOOL RD NW
CONCORD, NC
28027-0302

Practice Phone: 952-829-4209
Practice Fax:

1922015924 — WALGREEN CO
Practice Location Address:

5230 POPLAR TENT RD
CONCORD, NC
28027-7757

Practice Phone: 704-784-1977
Practice Fax: 704-784-1984

1942819289 — DR. BARBARA VAN OD
Practice Location Address:

7905 LYLES LN NW
CONCORD, NC
28027-7111

Practice Phone: 704-979-3900
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.