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
4333600000XPharmacy11768TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14571851OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821003831
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 : 5002 BELLAIRE BLVD
Second Line :
City : BELLAIRE
State : TX
Zip : 77401-4002
Country : US
Telephone Number : 713-663-6636
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : JENNIFER PONCE
Credential :
Telephone Number : 847-527-2489
Provider Enumeration Date : 07/29/2006
Last Update Date : 11/21/2025

Similar Medicare Providers

1538012455 — HONG TRANG HUYNH
Practice Location Address:
5002 BELLAIRE BLVD
BELLAIRE, TX
77401-4002
Practice Phone: 713-663-7035
Practice Fax:
1053649392 — ERIC J BECKHAM RPH
Practice Location Address:
5002 BELLAIRE BLVD
BELLAIRE, TX
77401-4002
Practice Phone: 713-663-6636
Practice Fax: 713-663-6586
1053649251 — MRS. BEZAWIT N MESFIN RPH
Practice Location Address:
5002 BELLAIRE BLVD
BELLAIRE, TX
77401-4002
Practice Phone: 832-724-3893
Practice Fax:
1043548241 — I-JU LAI
Practice Location Address:
5002 BELLAIRE BLVD
BELLAIRE, TX
77401-4002
Practice Phone: 713-663-6636
Practice Fax: 713-663-6586
1821326885 — HONG TIEU NGO RPH
Practice Location Address:
5002 BELLAIRE BLVD
BELLAIRE, TX
77401-4002
Practice Phone: 713-663-6636
Practice Fax: 713-663-7035
1710307525 — SEAN ANDREW SMELTZER PHARM.D.
Practice Location Address:
5002 BELLAIRE BLVD
BELLAIRE, TX
77401-4002
Practice Phone: 613-663-6636
Practice Fax: 713-663-6586

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.