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Active NPI 1720570799 Organization (Entity Type 2) Subpart Facility

Walgreen Co

Pharmacy • Springfield, IL

Parent Organization: Walgreens Boots Alliance Inc

About Walgreen Co NPI 1720570799 Summary

Walgreen Co is a verified healthcare organization specializing in Pharmacy operating in Springfield, IL. Located at 1150 N 5TH ST STE B, this facility provides patient care and medical services under National Provider Identifier (NPI) 1720570799.

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

1150 N 5th St Ste B

Springfield, IL 627026366

Telephone 2173316746
Fax 2173316747

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
Jessica Neal NPI 1265717060

Pharmacist

Springfield, IL

View Practitioner Profile →

Facility & Registry History Timeline

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

8 Historical Events
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Updated Business Mailing Address June 13, 2022

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

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Updated Practice Location June 15, 2018

Registered at 1150 N 5TH ST STE B, SPRINGFIELD, IL 627026366 (Tel: 3147394503)

NPI Profile Active June 11, 2018

NPI status registered as active in NPPES database

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Updated Practice Location June 11, 2018

Registered at 1150 N 5TH ST STE B, SPRINGFIELD, IL 62702 (Tel: 3147394503)

📍
Updated Business Mailing Address June 11, 2018

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

🏛️
Organization / Clinic Name Updated June 11, 2018

Operating as WALGREEN CO

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2018

Durable Medical Equipment & Medical Supplies

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Initial NPI Registration & Enumeration June 05, 2018

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1720570799
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 05, 2018
Last Update: December 05, 2024

Mailing Address

1901 E Voorhees St, Ms 790

Danville, IL 618344509

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.