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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacy50-009042SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14226557OTHERNCPDP
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 : 1841374097
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 : 1 THE PKWY
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-5026
Country : US
Telephone Number : 864-288-9334
Fax Number : 864-288-9848
Authorized Official
Title or Position : MANAGER
Name : JENNIFER PONCE
Credential :
Telephone Number : 847-527-2489
Provider Enumeration Date : 10/24/2006
Last Update Date : 06/01/2026

Similar Medicare Providers

1992002323 — DR. AARON MATTHEW DOBRIN PHARM D
Practice Location Address:
1 THE PKWY
GREENVILLE, SC
29615-5026
Practice Phone: 864-288-9334
Practice Fax: 864-288-9848
1831496132 — DR. PAIGE MCARTHUR PHARMD
Practice Location Address:
1 THE PKWY
GREENVILLE, SC
29615-5026
Practice Phone: 864-288-9334
Practice Fax: 864-288-9848
1760762074 — JESSICA NOICE PHARMD
Practice Location Address:
1 THE PKWY
GREENVILLE, SC
29615-5026
Practice Phone: 864-288-9334
Practice Fax:
1992197198 — RYAN BELTZ PHARMD
Practice Location Address:
1 THE PKWY
GREENVILLE, SC
29615-5026
Practice Phone: 864-288-9334
Practice Fax:
1134698327 — ADIA' BIANCA SINGLETON PHARMD
Practice Location Address:
1 THE PKWY
GREENVILLE, SC
29615-5026
Practice Phone: 864-288-9334
Practice Fax:
1447100623 — KIRA AAGESEN
Practice Location Address:
1 THE PKWY
GREENVILLE, SC
29615-5026
Practice Phone: 864-288-9334
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.