Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Bellevue, WA, holding Type 2 (organization) NPI 1124378914 since 2012. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1124378914 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 15585 NE 24TH ST, Bellevue, WA, 98007 |
| Phone | 4256438281 |
| Fax | 4256432782 |
| Enumeration date | 2012-09-19 |
| 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 | CF.60312583 | WA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4934952 | Other | WA | NCPDP |
| 2023497 | Medicaid | WA | — |
Copy-ready billing details
Provider: Walgreen Co NPI: 1124378914 Taxonomy: 333600000X (Pharmacy) Address: 15585 NE 24TH ST, Bellevue, WA, 98007
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831176395 | Anthony Meador | Individual | Physician Assistant | Bellevue, WA |
| 1609842871 | Henry Bradbury | Individual | Physician Assistant | Bellevue, WA |
| 1205916996 | Nichole Schroder | Individual | Family Nurse Practitioner | Bellevue, WA |
| 1770879652 | Stephany Silldorff | Individual | Family Nurse Practitioner | Bellevue, WA |
| 1891128971 | Elizabeth Gallagher | Individual | Family Nurse Practitioner | Bellevue, WA |
| 1184041774 | Dmitry Lefelman | Individual | Pharmacist | Bellevue, WA |
| 1417359415 | Cole Kozloff | Individual | Physician Assistant | Bellevue, WA |
| 1063806479 | Darren Freeman | Individual | Primary Care Nurse Practitioner | Bellevue, WA |
Verify this record
Cross-check NPI 1124378914 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
Where is Walgreen Co located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2024-10-10.