Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in East Chicago, IN, holding Type 2 (organization) NPI 1659386761 since 2006. The authorized official on file is Jennifer Ponce, Manager.
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| NPI | 1659386761 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 2123 E COLUMBUS DR, East Chicago, IN, 46312 |
| Phone | 2193976911 |
| Fax | 2193919527 |
| Enumeration date | 2006-07-29 |
| Last updated in NPPES | 2026-02-11 |
Authorized official
| Name | Jennifer Ponce |
|---|---|
| Title | Manager |
| Phone | 8475272489 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 60003270 | IN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100307900A DME | Medicaid | IN | — |
| 100307900 | Medicaid | IN | — |
| 1502310 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Walgreen Co NPI: 1659386761 Taxonomy: 333600000X (Pharmacy) Address: 2123 E COLUMBUS DR, East Chicago, IN, 46312
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1326320847 | Mira Damnjanovic | Individual | Pharmacist | East Chicago, IN |
| 1497032437 | Todor Baric | Individual | Pharmacist | East Chicago, IN |
| 1194237495 | Kelly Costello | Individual | Pharmacist | East Chicago, IN |
Verify this record
Cross-check NPI 1659386761 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 2026-02-11.