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Active NPI 1114934197 Organization (Entity Type 2) Subpart Facility

Walgreen Co

Pharmacy • Trinity, FL

Parent Organization: Walgreens Boots Alliance Inc

About Walgreen Co NPI 1114934197 Summary

Walgreen Co is a verified healthcare organization specializing in Pharmacy operating in Trinity, FL. Located at 1841 LITTLE RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1114934197.

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 4 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1841 Little Rd

Trinity, FL 346555301

Telephone 7273752077

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

4 Linked

Facility & Registry History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address August 07, 2026

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

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2026

Durable Medical Equipment & Medical Supplies

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2022

Pharmacy

NPI Profile Active December 01, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2015

Registered at 1841 LITTLE RD, TRINITY, FL 346555301 (Tel: 7273755565)

📍
Updated Business Mailing Address December 01, 2015

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

🏛️
Organization / Clinic Name Updated December 01, 2015

Operating as WALGREEN CO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2015

Durable Medical Equipment & Medical Supplies

🟢
Initial NPI Registration & Enumeration August 02, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1114934197
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: August 02, 2006
Last Update: August 07, 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.