Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in White Bear Lake, MN, holding Type 2 (organization) NPI 1033124359 since 2006. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1033124359 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 915 WILDWOOD RD, White Bear Lake, MN, 55115 |
| Phone | 6514267333 |
| Fax | 6514268574 |
| Enumeration date | 2006-07-29 |
| Last updated in NPPES | 2025-06-16 |
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 | 260852 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2419958 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 108260400 | Medicaid | MN | — |
Copy-ready billing details
Provider: Walgreen Co NPI: 1033124359 Taxonomy: 333600000X (Pharmacy) Address: 915 WILDWOOD RD, White Bear Lake, MN, 55115
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497849897 | Snyders Drug | Organization | Community/Retail Pharmacy | White Bear Lake, MN |
| 1114102985 | Amelia Lane | Individual | Pharmacy Technician | White Bear Lake, MN |
| 1093091019 | Komal Desai | Individual | Pharmacist | White Bear Lake, MN |
| 1992081129 | Diem Nguyen | Individual | Pharmacist | White Bear Lake, MN |
| 1962772392 | Allyson Lorang | Individual | Pharmacist | White Bear Lake, MN |
| 1144625062 | John Sellner | Individual | Pharmacist | White Bear Lake, MN |
| 1407475239 | Malini Vang | Individual | Pharmacist | White Bear Lake, MN |
| 1528675931 | Madison Kreuser | Individual | Pharmacist | White Bear Lake, MN |
Verify this record
Cross-check NPI 1033124359 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
How current is this record?
Where is Walgreen Co located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-16.