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Active NPI 1992889653 Organization (Entity Type 2) Subpart Facility

Walgreen Co

Pharmacy - Community/Retail Pharmacy • Cushing, OK

Parent Organization: Walgreens Boots Alliance Inc

About Walgreen Co NPI 1992889653 Summary

Walgreen Co is a verified healthcare organization specializing in Pharmacy - Community/Retail Pharmacy operating in Cushing, OK. Located at 1405 E MAIN ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1992889653.

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 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1405 E Main St

Cushing, OK 740233041

Telephone 9182255233
Fax 9182257316

Authorized Official Information

Authorized Contact Name

Jennifer Ponce

Title / Role

Manager

Official Telephone

8475272489

Facility Classifications & Specialties

Pharmacy - Community/Retail Pharmacy Primary Taxonomy

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.

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

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.

Affiliated Practitioners & Clinicians

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

1 Linked

Facility & Registry History Timeline

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

6 Historical Events
NPI Profile Active December 28, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 28, 2016

Registered at 1405 E MAIN ST, CUSHING, OK 740233041 (Tel: 9182255233)

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Updated Business Mailing Address December 28, 2016

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

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Organization / Clinic Name Updated December 28, 2016

Operating as WALGREEN CO

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2016

Durable Medical Equipment & Medical Supplies (License #83509 in OK)

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Initial NPI Registration & Enumeration October 25, 2006

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1992889653
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: October 25, 2006
Last Update: September 11, 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.