Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Coconut Creek, FL, holding Type 2 (organization) NPI 1164439147 since 2006. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1164439147 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 4600 COCONUT CREEK PKWY, Coconut Creek, FL, 33063 |
| Phone | 9549750800 |
| Enumeration date | 2006-08-02 |
| Last updated in NPPES | 2025-10-22 |
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 | PH0008201 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104999201 DME | Medicaid | FL | — |
| 1045055 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 104999200 | Medicaid | FL | — |
Copy-ready billing details
Provider: Walgreen Co NPI: 1164439147 Taxonomy: 333600000X (Pharmacy) Address: 4600 COCONUT CREEK PKWY, Coconut Creek, FL, 33063
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1487872487 | Diana Adams | Individual | Psychiatric/Mental Health Nurse Practitioner | Coconut Creek, FL |
| 1962662742 | Scott Tulloch | Individual | Pharmacist | Coconut Creek, FL |
| 1730403395 | Felicia Caruso | Individual | Pharmacist | Coconut Creek, FL |
| 1245537315 | Elaine Liu | Individual | Pharmacist | Coconut Creek, FL |
| 1780960880 | John Carosella | Individual | Pharmacist | Coconut Creek, FL |
| 1245517432 | Stacey Smith | Individual | Pharmacist | Coconut Creek, FL |
| 1528336740 | Monisola Balogun | Individual | Pharmacist | Coconut Creek, FL |
| 1235408220 | Alma Kadribasic | Individual | Pharmacist | Coconut Creek, FL |
Verify this record
Cross-check NPI 1164439147 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?
What is the NPI number for Walgreen Co?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-10-22.