Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Beaver Dam, WI, holding Type 2 (organization) NPI 1124210166 since 2007. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1124210166 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 607 PARK AVE, Beaver Dam, WI, 53916 |
| Phone | 9203560148 |
| Fax | 9203560401 |
| Enumeration date | 2007-08-14 |
| Last updated in NPPES | 2026-01-12 |
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 | 8776-042 | WI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36221400 | Medicaid | WI | — |
| 5130098 | Other | — | NCPDP |
Copy-ready billing details
Provider: Walgreen Co NPI: 1124210166 Taxonomy: 333600000X (Pharmacy) Address: 607 PARK AVE, Beaver Dam, WI, 53916
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831474030 | Scott Farrell | Individual | Pharmacist | Beaver Dam, WI |
| 1932484144 | Pamela Webb | Individual | Pharmacist | Beaver Dam, WI |
| 1356626493 | Sean Wiemann | Individual | Pharmacist | Beaver Dam, WI |
| 1487925418 | Jawana Hendrix | Individual | Pharmacist | Beaver Dam, WI |
| 1194358903 | Alex Holmes | Individual | Pharmacist | Beaver Dam, WI |
| 1487329033 | Devin Schneider | Individual | Pharmacist | Beaver Dam, WI |
| 1710735501 | Mary Fanshaw | Individual | Pharmacist | Beaver Dam, WI |
| 1306724174 | James Oettinger | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Beaver Dam, WI |
Verify this record
Cross-check NPI 1124210166 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 2026-01-12.