# WALGREEN CO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WALGREENS HOLDING COMPANY
- **Other names:** WALGREENS \#13611
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275892937
- **Legal business name:** WALGREENS HOLDING COMPANY
- **Authorized official:** JENNIFER PONCE (MANAGER)
- **Authorized official phone:** (847) 527-2489

## Contact information

- **Practice address:** 16 ROUTE 59, NYACK, NY 10960-2913
- **Practice address phone:** (845) 358-1589
- **Practice address fax:** (845) 353-2673
- **Mailing address:** 1901 E VOORHEES ST, MS \#790, DANVILLE, IL 61834-4515
- **Mailing address phone:** (847) 527-2489
- **Mailing address fax:** (217) 709-2344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | 031363 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/15/2012
- **Last updated:** 06/16/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03537111 | — | NY |
| 01 | — | 5805152 | NCPDP | NY |