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Active NPI 1114932159 Organization (Entity Type 2) Subpart Facility

Walgreen Co

Pharmacy • Midvale, UT

Parent Organization: Walgreens Boots Alliance Inc

About Walgreen Co NPI 1114932159 Summary

Walgreen Co is a verified healthcare organization specializing in Pharmacy operating in Midvale, UT. Located at 7227 S STATE ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1114932159.

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 5 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

7227 S State St

Midvale, UT 840472061

Telephone 8013070494

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

5 Linked
Lois Kim NPI 1053147116

Pharmacist

Midvale, UT

View Practitioner Profile →

Pharmacist

Midvale, UT

View Practitioner Profile →
Karen Smith , RPH NPI 1659649069

Pharmacist

Midvale, UT

View Practitioner Profile →
Erin Aycox NPI 1902726607

Pharmacist

Midvale, UT

View Practitioner Profile →

Facility & Registry History Timeline

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

7 Historical Events
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Updated Business Mailing Address August 04, 2025

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

NPI Profile Active April 27, 2016

NPI status registered as active in NPPES database

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Updated Practice Location April 27, 2016

Registered at 7227 S STATE ST, MIDVALE, UT 840472061 (Tel: 8013070491)

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Updated Business Mailing Address April 27, 2016

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

🏛️
Organization / Clinic Name Updated April 27, 2016

Operating as WALGREEN CO

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2016

Durable Medical Equipment & Medical Supplies

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Initial NPI Registration & Enumeration July 29, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1114932159
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: July 29, 2006
Last Update: August 04, 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.