# WALGREEN CO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WALGREENS BOOTS ALLIANCE INC
- **Other names:** WALGREENS \#04466
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619982634
- **Legal business name:** WALGREENS BOOTS ALLIANCE INC
- **Authorized official:** JENNIFER PONCE (MANAGER)
- **Authorized official phone:** (847) 527-2489

## Contact information

- **Practice address:** 3645 FREDERICK AVE, SAINT JOSEPH, MO 64506-3033
- **Practice address phone:** (816) 232-5342
- **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 | — | — | — |
| 333600000X | Pharmacy | 6438 | MO | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 02/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100432480A | — | KS |
| 05 | — | 100432480B | — | KS |
| 01 | — | 2631718 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 603836008 | — | MO |
| 05 | — | 623836004 DME | — | MO |