Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Pasadena, CA, holding Type 2 (organization) NPI 1023206463 since 2007. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1023206463 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 310 S LAKE AVE, Pasadena, CA, 91101 |
| Phone | 6265838066 |
| Fax | 6265838072 |
| Enumeration date | 2007-10-11 |
| Last updated in NPPES | 2025-08-06 |
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 | PHY48831 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5628500 | Other | — | NCPDP |
| 1023206463 | Medicaid | CA | — |
| PHA488310 | Medicaid | CA | — |
Copy-ready billing details
Provider: Walgreen Co NPI: 1023206463 Taxonomy: 333600000X (Pharmacy) Address: 310 S LAKE AVE, Pasadena, CA, 91101
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1437245305 | Liliana Khabbaz | Individual | General Practice Dentistry | Pasadena, CA |
| 1396883237 | Leon Roisman | Individual | General Practice Dentistry | Pasadena, CA |
| 1912046871 | Leon D. Roisman, D.M.D., Inc. | Organization | Prosthodontics | Pasadena, CA |
| 1093841579 | Yasmeen Haq | Individual | General Practice Dentistry | Pasadena, CA |
| 1609903368 | Dominic Letrong | Individual | General Practice Dentistry | Pasadena, CA |
| 1396872149 | Dennis Hunt | Individual | Periodontics | Pasadena, CA |
| 1760764419 | Kristy Hennessee | Individual | Pharmacist | Pasadena, CA |
| 1083997704 | Ari Kuyumjian | Individual | Pharmacist | Pasadena, CA |
Verify this record
Cross-check NPI 1023206463 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
What type of organization is Walgreen Co?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-08-06.