Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Gardiner, ME, holding Type 2 (organization) NPI 1295250579 since 2017. The authorized official on file is Jennifer Ponce, Manager.
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| NPI | 1295250579 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Holding Company |
| Practice address | 9 SPRING ST, Gardiner, ME, 04345 |
| Phone | 2075823051 |
| Fax | 2075820418 |
| Enumeration date | 2017-08-08 |
| Last updated in NPPES | 2026-06-02 |
Authorized official
| Name | Jennifer Ponce |
|---|---|
| Title | Manager |
| Phone | 8475272489 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295250579 | Medicaid | ME | — |
| PH5001619 | Other | ME | BOARD OF PHARMACY |
Copy-ready billing details
Provider: Walgreen Co NPI: 1295250579 Taxonomy: 333600000X (Pharmacy) Address: 9 SPRING ST, Gardiner, ME, 04345
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1780996587 | Venkat Lokula | Individual | Pharmacist | Gardiner, ME |
| 1285948166 | Sailesh Duvvuru | Individual | Pharmacist | Gardiner, ME |
| 1104332691 | Katrina Nikornpan | Individual | Pharmacist | Gardiner, ME |
| 1689322935 | Lilly Beauregard | Individual | Pharmacist | Gardiner, ME |
| 1013808229 | Isabelle Vazquez | Individual | Pharmacist | Gardiner, ME |
Verify this record
Cross-check NPI 1295250579 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
Who is the authorized official for Walgreen Co?
What is the NPI number for Walgreen Co?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2026-06-02.