Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Fortuna, CA, holding Type 2 (organization) NPI 1629297734 since 2007. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1629297734 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 1065 S FORTUNA BLVD, Fortuna, CA, 95540 |
| Phone | 7077260377 |
| Fax | 7077260383 |
| Enumeration date | 2007-04-25 |
| Last updated in NPPES | 2025-08-06 |
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 | PHY48602 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629297734 | Medicaid | CA | — |
| 5626140 | Other | — | OTHER ID |
| PHA486020 | Medicaid | CA | — |
Copy-ready billing details
Provider: Walgreen Co NPI: 1629297734 Taxonomy: 333600000X (Pharmacy) Address: 1065 S FORTUNA BLVD, Fortuna, CA, 95540
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1881976322 | Janet Tan | Individual | Pharmacist | Fortuna, CA |
| 1992087050 | Danilo Dela Cruz | Individual | Pharmacist | Fortuna, CA |
| 1568744233 | Diederik-Jan Bouwmeester | Individual | Pharmacist | Fortuna, CA |
| 1891198438 | Kenny Lee | Individual | Pharmacist | Fortuna, CA |
| 1154935823 | Allen Yang | Individual | Pharmacist | Fortuna, CA |
| 1649164138 | Joyme Gesite | Individual | Pharmacist | Fortuna, CA |
| 1154282267 | Andrey Buie | Individual | Pharmacist | Fortuna, CA |
Verify this record
Cross-check NPI 1629297734 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
Where is Walgreen Co located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-08-06.