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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Walgreen Co

Pharmacy in Maryville, TN · enumerated 2014 · authorized official Jennifer Ponce, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417375403

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Walgreen Co
Other name <Unavail>
Parent organization Walgreens Boots Alliance Inc
Practice address 1602 E Lamar Alexander Pkwy, Maryville, TN, 37804
Phone (865) 977-6854
Fax (865) 977-7582
Enumeration date Apr 7, 2014
Last updated in NPPES Oct 2, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers · License 0000005319 (TN) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Jennifer Ponce
Title Manager
Phone (847) 527-2489

Other identifiers

Identifier Type State Issuer
4446565 Other TN NCPDP

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.

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Frequently asked questions

What type of organization is Walgreen Co?
Walgreen Co is registered in NPPES as a Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-02.