Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Auburn, ME, holding Type 2 (organization) NPI 1164947487 since 2017. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1164947487 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Holding Company |
| Practice address | 698 MINOT AVE, Auburn, ME, 04210 |
| Phone | 2077865330 |
| Fax | 2077862368 |
| Enumeration date | 2017-08-08 |
| Last updated in NPPES | 2026-06-02 |
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 | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH50001632 | Other | ME | BOARD OF PHARMACY |
| 1164947487 | Medicaid | ME | — |
Copy-ready billing details
Provider: Walgreen Co NPI: 1164947487 Taxonomy: 333600000X (Pharmacy) Address: 698 MINOT AVE, Auburn, ME, 04210
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1295965127 | Amr Elebiary | Individual | Pharmacist | Auburn, ME |
| 1619287893 | Karen Chace | Individual | Pharmacist | Auburn, ME |
| 1538591151 | Joshua Tardif | Individual | Pharmacist | Auburn, ME |
| 1528491297 | David Kuwik-Amato | Individual | Pharmacist | Auburn, ME |
| 1831524826 | Ali Salehmohamed | Individual | Pharmacist | Auburn, ME |
| 1639529605 | Heidi Kirk | Individual | Pharmacist | Auburn, ME |
| 1184332819 | Tyler Boilard | Individual | Pharmacist | Auburn, ME |
| 1235004474 | Abigail Symbol | Individual | Pharmacist | Auburn, ME |
Verify this record
Cross-check NPI 1164947487 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 2026-06-02.