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

Walgreen Co

Pharmacy in Diberville, MS · enumerated 2008 · authorized official Jennifer Ponce, Manager.

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

National Provider Identifier

1972763092

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Registry record

Entity type Organization (Type 2)
Legal business name Walgreen Co
Other name <Unavail>
Parent organization Walgreens Boots Alliance Inc
Practice address 12007 Lamey Bridge Rd, Diberville, MS, 39540
Phone (228) 392-2388
Fax (228) 392-6857
Enumeration date Jun 12, 2008
Last updated in NPPES Oct 10, 2024

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers · License 07822/01.2 (MS) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

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

Other identifiers

Identifier Type State Issuer
2587232 Other MS NCPDP
03176210 Other MS MS MEDICAID
08983561 Other MS MS DME

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.

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Frequently asked questions

Where is Walgreen Co located?
The practice location on file with NPPES is in Diberville, MS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-10-10. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-10.