Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Stone Mountain, GA, holding Type 2 (organization) NPI 1962417071 since 2006. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1962417071 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 5435 FIVE FORKS TRICKUM RD, Stone Mountain, GA, 30087 |
| Phone | 7709355607 |
| Enumeration date | 2006-07-29 |
| Last updated in NPPES | 2024-09-19 |
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 | PHRE008781 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 801920120A | Medicaid | GA | — |
| 1151315 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Walgreen Co NPI: 1962417071 Taxonomy: 333600000X (Pharmacy) Address: 5435 FIVE FORKS TRICKUM RD, Stone Mountain, GA, 30087
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1356623334 | Sonal Patel | Individual | Pharmacist | Stone Mountain, GA |
| 1194008268 | Chandra Smith | Individual | Pharmacist | Stone Mountain, GA |
| 1235412347 | Van Do | Individual | Pharmacist | Stone Mountain, GA |
| 1891079497 | Nuzhat Hashmi | Individual | Pharmacist | Stone Mountain, GA |
| 1427637305 | Casianne Manning | Individual | Family Medicine Physician | Stone Mountain, GA |
| 1154034197 | Ebinehita Oboh | Individual | Pharmacist | Stone Mountain, GA |
Verify this record
Cross-check NPI 1962417071 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 2026-07-10. Provider record last updated 2024-09-19.