Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Malone, NY, holding Type 2 (organization) NPI 1063623841 since 2007. The authorized official on file is Jennifer Ponce, Manager.
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| NPI | 1063623841 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 305 W MAIN ST, Malone, NY, 12953 |
| Phone | 5184839090 |
| Fax | 5184839096 |
| Enumeration date | 2007-05-24 |
| Last updated in NPPES | 2024-10-10 |
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 | 028424 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3354228 | Other | — | NCPDP |
| 02892437 | Medicaid | NY | — |
Copy-ready billing details
Provider: Walgreen Co NPI: 1063623841 Taxonomy: 333600000X (Pharmacy) Address: 305 W MAIN ST, Malone, NY, 12953
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1578796991 | Kristen Trombley | Individual | Pharmacist | Malone, NY |
| 1053634345 | Amy Pannhurst | Individual | Pharmacist | Malone, NY |
| 1508189390 | Allyne King | Individual | Pharmacist | Malone, NY |
| 1710293097 | Sarah Ruby | Individual | Pharmacist | Malone, NY |
| 1306286653 | Bryan Trombley | Individual | Pharmacist | Malone, NY |
| 1982294906 | Michelle Rabideau | Individual | Pharmacy Technician | Malone, NY |
Verify this record
Cross-check NPI 1063623841 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 2024-10-10.