Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Jacksonville, AR, holding Type 2 (organization) NPI 1790790061 since 2006. The authorized official on file is Kira Taylor, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1790790061 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 819 W MAIN ST, Jacksonville, AR, 72076 |
| Phone | 5012410225 |
| Fax | 5012410228 |
| Enumeration date | 2006-07-29 |
| Last updated in NPPES | 2023-10-25 |
Authorized official
| Name | Kira Taylor |
|---|---|
| Title | Manager |
| Phone | 2177092351 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 20384 | AR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0422030 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 154701407 | Medicaid | AR | — |
| 157855716 DME | Medicaid | AR | — |
Copy-ready billing details
Provider: Walgreen Co NPI: 1790790061 Taxonomy: 333600000X (Pharmacy) Address: 819 W MAIN ST, Jacksonville, AR, 72076
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1912280330 | Ashley Rathbun | Individual | Pharmacist | Jacksonville, AR |
| 1770866121 | Jasmine Desai | Individual | Pharmacist | Jacksonville, AR |
| 1528341617 | Valorie Fields | Individual | Pharmacist | Jacksonville, AR |
| 1750996120 | Allison Williams | Individual | Pharmacist | Jacksonville, AR |
| 1871180885 | Abraham Vierthaler | Individual | Pharmacist | Jacksonville, AR |
| 1861164139 | Uyen Phan | Individual | Pharmacist | Jacksonville, AR |
| 1871225938 | Shane Farmer | Individual | Pharmacist | Jacksonville, AR |
Verify this record
Cross-check NPI 1790790061 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
What type of organization is Walgreen Co?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2023-10-25.