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

Walgreen Co

Pharmacy in Wilton Manors, FL · enumerated 2012 · authorized official Jennifer Ponce, Manager.

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

National Provider Identifier

1598038887

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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 1201 Ne 26th St Ste 110, Wilton Manors, FL, 33305
Phone (954) 568-3789
Fax (954) 568-3210
Enumeration date Feb 16, 2012
Last updated in NPPES Nov 6, 2024

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers Secondary
333600000X Pharmacy Suppliers · License PH26086 (FL) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
004952201 Medicaid FL -
5709766 Other FL NCPDP
004952200 Medicaid FL -

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 2024-11-06. Verify at npiregistry.cms.hhs.gov.
Where is Walgreen Co located?
The practice location on file with NPPES is in Wilton Manors, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-06.