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Active NPI 1922381607 Organization (Entity Type 2) Subpart Facility

Walgreen Co

Pharmacy • Stuart, FL

Parent Organization: Walgreens Boots Alliance Inc

About Walgreen Co NPI 1922381607 Summary

Walgreen Co is a verified healthcare organization specializing in Pharmacy operating in Stuart, FL. Located at 6545 S KANNER HWY, this facility provides patient care and medical services under National Provider Identifier (NPI) 1922381607.

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

6545 S Kanner Hwy

Stuart, FL 349976330

Telephone 7722334099
Fax 7727817960

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

Facility & Registry History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address September 10, 2025

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

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2019

Pharmacy

NPI Profile Active January 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2016

Registered at 6545 S KANNER HWY, STUART, FL 349976330 (Tel: 7722334099)

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Updated Business Mailing Address January 11, 2016

Registered at 1901 E VOORHEES ST, MS 790, DANVILLE, IL 618344509 (Tel: 2177092386)

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Organization / Clinic Name Updated January 11, 2016

Operating as WALGREEN CO

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2016

Durable Medical Equipment & Medical Supplies

🟢
Initial NPI Registration & Enumeration September 20, 2011

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1922381607
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: September 20, 2011
Last Update: September 10, 2025

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.