Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Moncks Corner, SC, holding Type 2 (organization) NPI 1790894061 since 2006. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1790894061 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 395 N HIGHWAY 52, Moncks Corner, SC, 29461 |
| Phone | 8438996601 |
| Fax | 8438996640 |
| Enumeration date | 2006-08-30 |
| 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 | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 50-008987 | SC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE2800 DME | Medicaid | SC | — |
| 4226507 | Other | SC | NCPDP |
| 789871 | Medicaid | SC | — |
Copy-ready billing details
Provider: Walgreen Co NPI: 1790894061 Taxonomy: 333600000X (Pharmacy) Address: 395 N HIGHWAY 52, Moncks Corner, SC, 29461
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1043544877 | Dewey Bullington | Individual | Pharmacist | Moncks Corner, SC |
| 1669779088 | Gregory Winglosky | Individual | Pharmacist | Moncks Corner, SC |
| 1720385081 | Daniella Winters | Individual | Pharmacist | Moncks Corner, SC |
| 1821395880 | Janice Mitchum | Individual | Pharmacist | Moncks Corner, SC |
| 1053618033 | Linda Fisk-Lynes | Individual | Pharmacist | Moncks Corner, SC |
| 1760761126 | Sarah Barnhart | Individual | Pharmacist | Moncks Corner, SC |
| 1346677960 | Marc Marvin | Individual | Pharmacist | Moncks Corner, SC |
| 1306419726 | Lauren Mitchum | Individual | Pharmacist | Moncks Corner, SC |
Verify this record
Cross-check NPI 1790894061 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 2026-02-09.