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Active NPI 1134375413 Organization (Entity Type 2) Subpart Facility

Walgreen Co

Pharmacy • Saint Cloud, FL

Parent Organization: Walgreens Boots Alliance Inc

About Walgreen Co NPI 1134375413 Summary

Walgreen Co is a verified healthcare organization specializing in Pharmacy operating in Saint Cloud, FL. Located at 3340 CANOE CREEK RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1134375413.

Walgreen Co operates as a subpart facility of Walgreens Boots Alliance Inc. Administrative operations and authorized compliance are overseen by Jennifer Ponce (Manager).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

3340 Canoe Creek Rd

Saint Cloud, FL 347726536

Telephone 4074980356

Authorized Official Information

Authorized Contact Name

Jennifer Ponce

Title / Role

Manager

Official Telephone

8475272489

Facility Classifications & Specialties

Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 333600000X

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Durable Medical Equipment & Medical Supplies

NUCC Taxonomy Code: 332B00000X

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Pharmacy - Community/Retail Pharmacy

NUCC Taxonomy Code: 3336C0003X

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked
Donald Dzejak , RPH NPI 1558644542

Pharmacist

Saint Cloud, FL

View Practitioner Profile →
Rachel Nguyen NPI 1811663586

Pharmacist

Saint Cloud, FL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

10 Historical Events
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Updated Business Mailing Address January 24, 2026

Registered at 1901 E VOORHEES ST, MS 790, DANVILLE, IL 618344515 (Tel: 8475272489)

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Organization / Clinic Name Updated January 24, 2026

Operating as WALGREEN CO

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2026

Pharmacy

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Updated Business Mailing Address June 13, 2022

Registered at 1901 E VOORHEES ST # MS 790, DANVILLE, IL 618344509 (Tel: 2177092351)

NPI Profile Active October 17, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 17, 2016

Registered at 3340 CANOE CREEK RD, SAINT CLOUD, FL 347726536 (Tel: 4074980356)

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Updated Business Mailing Address October 17, 2016

Registered at 1901 E VOORHEES ST, MS 720, DANVILLE, IL 618344509 (Tel: 2177092386)

🏛️
Organization / Clinic Name Updated October 17, 2016

Operating as WALGREEN CO.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2016

Durable Medical Equipment & Medical Supplies

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Initial NPI Registration & Enumeration August 18, 2008

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1134375413
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: August 18, 2008
Last Update: January 24, 2026

Mailing Address

1901 E Voorhees St, Ms 790

Danville, IL 618344515

Phone: 8475272489

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.