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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Walgreen Co

Pharmacy in East Saint Louis, IL · enumerated 2006 · authorized official Jennifer Ponce, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174538359

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Registry record

Entity type Organization (Type 2)
Legal business name Walgreen Co
Other name <Unavail>
Parent organization Walgreens Boots Alliance Inc
Practice address 2510 State St, East Saint Louis, IL, 62205
Fax (618) 875-7434
Enumeration date Jul 29, 2006
Last updated in NPPES Jan 10, 2026

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers · License 54014070 (IL) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Jennifer Ponce
Title Manager

Other identifiers

Identifier Type State Issuer
606185601 Medicaid MO -
626185607 DME Medicaid MO -
1470006 Other - OTHER ID NUMBER-COMMERCIAL NUMBER
362127039602 Medicaid IL -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-01-10. Verify at npiregistry.cms.hhs.gov.
Where is Walgreen Co located?
The practice location on file with NPPES is in East Saint Louis, IL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-10.