Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Gulfport, MS, holding Type 2 (organization) NPI 1295740454 since 2006. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1295740454 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 1417 E PASS RD, Gulfport, MS, 39507 |
| Phone | 2288963870 |
| Fax | 2288963876 |
| Enumeration date | 2006-07-29 |
| Last updated in NPPES | 2026-05-21 |
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 | 0307701WG | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2518275 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 00330200 | Medicaid | MS | — |
Copy-ready billing details
Provider: Walgreen Co NPI: 1295740454 Taxonomy: 333600000X (Pharmacy) Address: 1417 E PASS RD, Gulfport, MS, 39507
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1558972307 | Matthew Illich | Individual | Pharmacist | Gulfport, MS |
| 1427620939 | Chelsey Kennedy | Individual | Pharmacist | Gulfport, MS |
| 1568142883 | Cory Norton | Individual | Pharmacist | Gulfport, MS |
| 1336900851 | Samuel Saizan | Individual | Pharmacist | Gulfport, MS |
| 1679300164 | Paola Gonzalez De Jesus | Individual | Pharmacist | Gulfport, MS |
| 1467271536 | Denisha Daniels | Individual | Pharmacist | Gulfport, MS |
| 1184412926 | Kaleigh Hansen | Individual | Pharmacist | Gulfport, MS |
| 1033093075 | Jared Daley | Individual | Pharmacist | Gulfport, MS |
Verify this record
Cross-check NPI 1295740454 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 2026-05-21.