Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Pine Bluff, AR, holding Type 2 (organization) NPI 1265515670 since 2006. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1265515670 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 2503 W 28TH AVE, Pine Bluff, AR, 71603 |
| Phone | 8708506084 |
| Fax | 8708506361 |
| Enumeration date | 2006-10-23 |
| Last updated in NPPES | 2025-09-10 |
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 | AR20702 | AR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127143716 | Other | — | MEDICAID DME |
| 0409450 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 100633407 | Medicaid | AR | — |
| 10619 | Other | AR | MEDICARE FLU |
Copy-ready billing details
Provider: Walgreen Co NPI: 1265515670 Taxonomy: 333600000X (Pharmacy) Address: 2503 W 28TH AVE, Pine Bluff, AR, 71603
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023358090 | Delois Razor | Individual | Pharmacist | Pine Bluff, AR |
| 1346689478 | Bridget Wilson | Individual | Pharmacist | Pine Bluff, AR |
| 1508249004 | Matthew Devers | Individual | Pharmacist | Pine Bluff, AR |
| 1770967531 | Janet Bean | Individual | Pharmacist | Pine Bluff, AR |
| 1356820120 | Raylen Cantrell | Individual | Pharmacist | Pine Bluff, AR |
| 1730792623 | Yasheika Ania | Individual | Pharmacist | Pine Bluff, AR |
| 1609480185 | Humphrey Tekum | Individual | Pharmacist | Pine Bluff, AR |
| 1952123226 | Austin Stanage | Individual | Pharmacist | Pine Bluff, AR |
Verify this record
Cross-check NPI 1265515670 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 2026-07-10. Provider record last updated 2025-09-10.