Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Humboldt, TN, holding Type 2 (organization) NPI 1205919610 since 2006. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1205919610 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 2401 N CENTRAL AVE, Humboldt, TN, 38343 |
| Phone | 7317842613 |
| Fax | 7317847410 |
| Enumeration date | 2006-10-23 |
| Last updated in NPPES | 2025-06-25 |
Authorized official
| Name | Jennifer Ponce |
|---|---|
| Title | Manager |
| Phone | 8475272489 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | 2132 | TN |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 0000002132 | TN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9449858 | Medicaid | TN | — |
| 4427856 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 1532437 | Other | TN | MEDICAID-DME |
| 3914212 | Other | TN | MEDICARE FLU |
Copy-ready billing details
Provider: Walgreen Co NPI: 1205919610 Taxonomy: 333600000X (Pharmacy) Address: 2401 N CENTRAL AVE, Humboldt, TN, 38343
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164864195 | Sonya Deakins | Individual | Pharmacist | Humboldt, TN |
| 1346674058 | Brent Pierce | Individual | Pharmacist | Humboldt, TN |
| 1154983872 | Mitchell Ross | Individual | Pharmacist | Humboldt, TN |
| 1891333696 | Emma Dull | Individual | Community/Retail Pharmacy | Humboldt, TN |
| 1053924472 | Hayden Watts | Individual | Pharmacist | Humboldt, TN |
| 1053910380 | Ryne Fisher | Individual | Pharmacist | Humboldt, TN |
| 1225638323 | Brianna Dunker | Individual | Pharmacist | Humboldt, TN |
| 1912652579 | Alexandria Stanley | Individual | Pharmacist | Humboldt, TN |
Verify this record
Cross-check NPI 1205919610 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 is a Type 2 NPI?
What type of organization is Walgreen Co?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-25.