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

Walgreen Co

Pharmacy in Lake Havasu City, AZ · enumerated 2006 · authorized official Jennifer Ponce, Manager.

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

National Provider Identifier

1437164761

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 25 Lake Havasu Ave S, Lake Havasu City, AZ, 86403

Phone (928) 453-2808

Enumeration date Jul 29, 2006

Last updated in NPPES Jun 23, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

333600000X Pharmacy Suppliers · License Y1677 (AZ) Primary

3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Jennifer Ponce

Title Manager

Phone (847) 527-2489

Other identifiers

Identifier	Type	State	Issuer
037962	Medicaid	AZ	-
0313356	Other	-	OTHER ID NUMBER-COMMERCIAL NUMBER

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-23. Verify at npiregistry.cms.hhs.gov.

Where is Walgreen Co located?

The practice location on file with NPPES is in Lake Havasu City, AZ.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-23.