Organization
WALGREEN CO
Active
Parent organization
WALGREENS HOLDING COMPANY
Other names
WALGREENS #04163
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS HOLDING COMPANY
Authorized official
JENNIFER PONCE (MANAGER)
(847) 527-2489
Entity
Organization
Contact information
Practice address
7338 DIXIE HWY, LOUISVILLE, KY 40258-3722
(502) 937-3747
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4515
(847) 527-2489
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
1299
KY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1812189
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
54015995
—
KY
05
—
90261561 DME
—
KY
Enumeration date
07/29/2006
Last updated
07/27/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up