Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Lake Charles, LA, holding Type 2 (organization) NPI 1477675767 since 2007. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1477675767 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 4097 RYAN ST, Lake Charles, LA, 70605 |
| Phone | 3374740434 |
| Fax | 3374742877 |
| Enumeration date | 2007-04-06 |
| Last updated in NPPES | 2025-11-20 |
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 | 5800 | LA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205389 | Medicaid | LA | — |
| 1933111 | Other | — | NCPDP |
Copy-ready billing details
Provider: Walgreen Co NPI: 1477675767 Taxonomy: 333600000X (Pharmacy) Address: 4097 RYAN ST, Lake Charles, LA, 70605
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740595701 | Leroy Johnson | Individual | Pharmacist | Lake Charles, LA |
| 1457667990 | Nu Le | Individual | Pharmacist | Lake Charles, LA |
| 1790065324 | Marian Minias | Individual | Pharmacist | Lake Charles, LA |
| 1225461726 | Kenneth Doucet | Individual | Pharmacist | Lake Charles, LA |
| 1386299964 | Amber Gill | Individual | Pharmacist | Lake Charles, LA |
| 1326697251 | Mosab Shalby | Individual | Pharmacist | Lake Charles, LA |
| 1780233700 | Paige Gallien | Individual | Pharmacist | Lake Charles, LA |
| 1710518634 | Jairus Smith | Individual | Pharmacist | Lake Charles, LA |
Verify this record
Cross-check NPI 1477675767 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
How current is this record?
Where is Walgreen Co located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-11-20.