Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Davenport, FL, holding Type 2 (organization) NPI 1104127349 since 2010. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1104127349 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 40079 HIGHWAY 27, Davenport, FL, 33837 |
| Phone | 8635473903 |
| Fax | 8634210609 |
| Enumeration date | 2010-11-04 |
| Last updated in NPPES | 2026-01-24 |
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 | PH25215 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5702421 | Other | — | NCPDP |
| 003200700 | Medicaid | FL | — |
| 003200701 | Other | FL | MEDICAID DME |
Copy-ready billing details
Provider: Walgreen Co NPI: 1104127349 Taxonomy: 333600000X (Pharmacy) Address: 40079 HIGHWAY 27, Davenport, FL, 33837
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1427332360 | Howard Wray | Individual | Pharmacist | Davenport, FL |
| 1275872319 | Amanda Marciano | Individual | Pharmacist | Davenport, FL |
| 1427928787 | Andrew Iten | Individual | Pharmacist | Davenport, FL |
Verify this record
Cross-check NPI 1104127349 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 2026-01-24.