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Active NPI 1639184666 Organization (Entity Type 2) Subpart Facility

Walgreen Co

Pharmacy • Clinton, UT

Parent Organization: Walgreens Boots Alliance Inc

About Walgreen Co NPI 1639184666 Summary

Walgreen Co is a verified healthcare organization specializing in Pharmacy operating in Clinton, UT. Located at 1962 W 1800 N, this facility provides patient care and medical services under National Provider Identifier (NPI) 1639184666.

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 9 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1962 W 1800 N

Clinton, UT 840158328

Telephone 8016141347

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

9 Linked

Facility & Registry History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address February 06, 2026

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2026

Pharmacy

NPI Profile Active August 31, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2015

Registered at 1962 W 1800 N, CLINTON, UT 840158328 (Tel: 8016141344)

📍
Updated Business Mailing Address August 31, 2015

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

🏛️
Organization / Clinic Name Updated August 31, 2015

Operating as WALGREEN CO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2015

Durable Medical Equipment & Medical Supplies

🟢
Initial NPI Registration & Enumeration July 29, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1639184666
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: July 29, 2006
Last Update: February 06, 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.