Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Grand Prairie, TX, holding Type 2 (organization) NPI 1568409951 since 2006. The authorized official on file is Jennifer Ponce, Manager.
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| NPI | 1568409951 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 4103 S GREAT SOUTHWEST PKWY, Grand Prairie, TX, 75052 |
| Phone | 9726028156 |
| Fax | 9726023368 |
| Enumeration date | 2006-06-02 |
| Last updated in NPPES | 2026-02-09 |
Authorized official
| Name | Jennifer Ponce |
|---|---|
| Title | Manager |
| Phone | 8475272489 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 291U00000X | Clinical Medical Laboratory | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 24808 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 468862 | Medicaid | TX | — |
| 4541048 | Other | — | NCPDP |
| 466286 | Medicaid | TX | — |
Copy-ready billing details
Provider: Walgreen Co NPI: 1568409951 Taxonomy: 333600000X (Pharmacy) Address: 4103 S GREAT SOUTHWEST PKWY, Grand Prairie, TX, 75052
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1407183429 | Kim Ly | Individual | Pharmacist | Grand Prairie, TX |
| 1801123682 | Minh Thu Nguyen | Individual | Pharmacist | Grand Prairie, TX |
| 1588992283 | Sana Abdelwahab | Individual | Pharmacist | Grand Prairie, TX |
| 1346578523 | Peter Dadson | Individual | Pharmacist | Grand Prairie, TX |
| 1083945091 | Creshaun Zewalk Betts | Individual | Pharmacist | Grand Prairie, TX |
| 1053968685 | Dien Tran | Individual | Pharmacist | Grand Prairie, TX |
| 1740951904 | Tayler Tinsley | Individual | Pharmacist | Grand Prairie, TX |
| 1265190466 | Nicole Tsoi | Individual | Pharmacist | Grand Prairie, TX |
Verify this record
Cross-check NPI 1568409951 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 2026-07-11. Provider record last updated 2026-02-09.