Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Grand Rapids, MI, holding Type 2 (organization) NPI 1174538284 since 2006. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1174538284 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Holding Company |
| Practice address | 425 FULLER AVE NE, Grand Rapids, MI, 49503 |
| Phone | 6167769925 |
| Fax | 6167767675 |
| Enumeration date | 2006-07-29 |
| Last updated in NPPES | 2026-06-03 |
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 | 5301005824 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4808870 DME | Medicaid | MI | — |
| 2350825 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 2898869 | Medicaid | MI | — |
Copy-ready billing details
Provider: Walgreen Co NPI: 1174538284 Taxonomy: 333600000X (Pharmacy) Address: 425 FULLER AVE NE, Grand Rapids, MI, 49503
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831714005 | Heidi Nguyen | Individual | Pharmacist | Grand Rapids, MI |
| 1558291542 | Rajvi Amin | Individual | Pharmacist | Grand Rapids, MI |
Verify this record
Cross-check NPI 1174538284 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 2026-06-03.