Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Gray, TN, holding Type 2 (organization) NPI 1003002254 since 2007. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1003002254 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 5104 BOBBY HICKS HWY, Gray, TN, 37615 |
| Phone | 4234773372 |
| Fax | 4234778533 |
| Enumeration date | 2007-09-21 |
| Last updated in NPPES | 2025-05-05 |
Authorized official
| Name | Jennifer Ponce |
|---|---|
| Title | Manager |
| Phone | 8475272489 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 4444 | TN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4440664 | Medicaid | TN | — |
| 4440664 | Other | — | NCPDP |
Copy-ready billing details
Provider: Walgreen Co NPI: 1003002254 Taxonomy: 333600000X (Pharmacy) Address: 5104 BOBBY HICKS HWY, Gray, TN, 37615
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497066609 | Mandy Dishner | Individual | Pharmacist | Gray, TN |
| 1528379252 | Billie Reilly | Individual | Pharmacist | Gray, TN |
| 1770923443 | Abigail Brown | Individual | Pharmacist | Gray, TN |
| 1518307917 | Arissa Vaughn | Individual | Pharmacist | Gray, TN |
| 1053930420 | Molly Ketron | Individual | Pharmacist | Johnson City, TN |
| 1629808027 | Deberrian Simmons | Individual | Pharmacist | Johnson City, TN |
Verify this record
Cross-check NPI 1003002254 against the authoritative CMS record: view Walgreen Co on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Walgreen Co located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-05-05.