Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Fort Wayne, IN, holding Type 2 (organization) NPI 1225043367 since 2006. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1225043367 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 10412 COLDWATER RD, Fort Wayne, IN, 46845 |
| Phone | 2606370848 |
| Fax | 2606372728 |
| Enumeration date | 2006-07-29 |
| 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 | 60005459 | IN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200233220A DME | Medicaid | IN | — |
| 200233220 | Medicaid | IN | — |
| 1534355 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Walgreen Co NPI: 1225043367 Taxonomy: 333600000X (Pharmacy) Address: 10412 COLDWATER RD, Fort Wayne, IN, 46845
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134409691 | Diane Gotsch | Individual | Pharmacist | Fort Wayne, IN |
| 1447530928 | Brandee Lash | Individual | Pharmacist | Fort Wayne, IN |
| 1760764633 | Adam Woodard | Individual | Pharmacist | Fort Wayne, IN |
| 1104109602 | Sheila Schwartz | Individual | Pharmacist | Fort Wayne, IN |
| 1083997654 | Stefanie Kruger | Individual | Pharmacist | Fort Wayne, IN |
| 1346523388 | Kimberly Sunderlin | Individual | Pharmacist | Fort Wayne, IN |
| 1336515071 | Swapnil Shah | Individual | Pharmacist | Fort Wayne, IN |
| 1689198145 | Ryan Trieglaff | Individual | Pharmacist | Fort Wayne, IN |
Verify this record
Cross-check NPI 1225043367 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 2025-10-22.