Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Carrollton, TX, holding Type 2 (organization) NPI 1104831163 since 2006. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1104831163 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 1804 E HEBRON PKWY, Carrollton, TX, 75010 |
| Phone | 9729391977 |
| Fax | 9723953744 |
| Enumeration date | 2006-07-29 |
| Last updated in NPPES | 2025-06-17 |
Authorized official
| Name | Jennifer Ponce |
|---|---|
| Title | Manager |
| Phone | 8475272489 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 18905 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 468125 | Medicaid | TX | — |
| 4505092 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 464171 | Medicaid | TX | — |
Copy-ready billing details
Provider: Walgreen Co NPI: 1104831163 Taxonomy: 333600000X (Pharmacy) Address: 1804 E HEBRON PKWY, Carrollton, TX, 75010
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1588990121 | Noor Panjwani | Individual | Pharmacist | Carrollton, TX |
| 1336476324 | Srujana Madhavarapu | Individual | Pharmacist | Carrollton, TX |
| 1871820878 | Bharat Patel | Individual | Pharmacist | Carrollton, TX |
| 1326375221 | Foyeke Ogunfuye | Individual | Pharmacist | Carrollton, TX |
| 1609192640 | Alan Atchison | Individual | Pharmacist | Carrollton, TX |
| 1083903710 | Nghi 'Annie' Dinh | Individual | Pharmacist | Carrollton, TX |
| 1073894556 | Melissa Lopez | Individual | Pharmacist | Carrollton, TX |
| 1639590490 | Manita Manandhar | Individual | Family Nurse Practitioner | Carrollton, TX |
Verify this record
Cross-check NPI 1104831163 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 2025-06-17.