Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Pekin, IL, holding Type 2 (organization) NPI 1063427292 since 2006. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1063427292 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 1400 BROADWAY ST, Pekin, IL, 61554 |
| Phone | 3093467880 |
| Fax | 3093461349 |
| Enumeration date | 2006-07-29 |
| Last updated in NPPES | 2025-11-20 |
Authorized official
| Name | Jennifer Ponce |
|---|---|
| Title | Manager |
| Phone | 8475272489 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 54009581 | IL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362127039553 | Medicaid | IL | — |
| 1456777 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Walgreen Co NPI: 1063427292 Taxonomy: 333600000X (Pharmacy) Address: 1400 BROADWAY ST, Pekin, IL, 61554
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1790065381 | Jason Nash | Individual | Pharmacist | Pekin, IL |
| 1053693036 | Saritha Chodavarapu | Individual | Pharmacist | Pekin, IL |
| 1841534039 | Nishath Farooqui | Individual | Pharmacist | Pekin, IL |
| 1669086906 | Hany Tekel | Individual | Pharmacist | Pekin, IL |
| 1457956419 | Muslim Sayed | Individual | Pharmacist | Pekin, IL |
| 1447095310 | Angela Poku Wiafe | Individual | Pharmacist | Pekin, IL |
Verify this record
Cross-check NPI 1063427292 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 is a Type 2 NPI?
What type of organization is Walgreen Co?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-11-20.