Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Long Beach, MS, holding Type 2 (organization) NPI 1114932357 since 2006. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1114932357 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 120 W RAILROAD ST, Long Beach, MS, 39560 |
| Phone | 2285754057 |
| Fax | 2285754458 |
| Enumeration date | 2006-07-29 |
| Last updated in NPPES | 2026-01-05 |
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 | 06663012 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2586153 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 06701311 | Medicaid | MS | — |
Copy-ready billing details
Provider: Walgreen Co NPI: 1114932357 Taxonomy: 333600000X (Pharmacy) Address: 120 W RAILROAD ST, Long Beach, MS, 39560
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1881909091 | Brandon King | Individual | Pharmacist | Long Beach, MS |
| 1821373408 | Rebecca Boyer | Individual | Pharmacist | Long Beach, MS |
| 1871104646 | Amber-Nicole Vu | Individual | Pharmacist | Long Beach, MS |
| 1740954213 | Nicole Depew | Individual | Pharmacist | Long Beach, MS |
| 1417600792 | David Tedford | Individual | Pharmacist | Long Beach, MS |
| 1245951862 | Danny Vu | Individual | Pharmacist | Long Beach, MS |
Verify this record
Cross-check NPI 1114932357 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
Who is the authorized official for Walgreen Co?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-05.