NPI Portal NPI Lookup & Verification

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

Walgreen Co

Pharmacy in Tahlequah, OK · enumerated 2008 · authorized official Jennifer Ponce, Manager.

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

National Provider Identifier

1861662173

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Walgreen Co
Other name <Unavail>
Parent organization Walgreens Boots Alliance Inc
Practice address 1905 S Muskogee Ave, Tahlequah, OK, 74464
Phone (918) 458-4283
Fax (918) 458-6372
Enumeration date Mar 4, 2008
Last updated in NPPES May 4, 2026

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers · License 36-5301 (OK) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

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

Other identifiers

Identifier Type State Issuer
100245520F Other OK MEDICAID DME
3725136 Other - NCPDP
100245520E Medicaid OK -

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 → Validate an NPI →

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 2026-05-04. Verify at npiregistry.cms.hhs.gov.
Where is Walgreen Co located?
The practice location on file with NPPES is in Tahlequah, OK.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-04.