Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Shallotte, NC, holding Type 2 (organization) NPI 1275769481 since 2009. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1275769481 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 4577 MAIN ST, Shallotte, NC, 28470 |
| Phone | 9107555953 |
| Enumeration date | 2009-06-02 |
| Last updated in NPPES | 2026-01-10 |
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 | 10327 | NC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0105547 | Medicaid | NC | — |
| 3415571 | Other | — | NCPDP |
Copy-ready billing details
Provider: Walgreen Co NPI: 1275769481 Taxonomy: 333600000X (Pharmacy) Address: 4577 MAIN ST, Shallotte, NC, 28470
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1679808059 | Heather Vick | Individual | Pharmacist | Shallotte, NC |
| 1265769731 | Carmen Suedmeier | Individual | Pharmacist | Shallotte, NC |
| 1336453000 | Amanda Conway | Individual | Pharmacist | Shallotte, NC |
| 1255715561 | Julie Evans | Individual | Pharmacist | Shallotte, NC |
Verify this record
Cross-check NPI 1275769481 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 2026-01-10.