Active NPI
Walgreen Co
- Pharmacy
- Eupora, MS
On this page
- Key facts
- Authorized official
- Practitioners17
- Laboratory certificates & supplier records
- Medicare participation
- All facility ownership & control disclosures77
- National Provider Directory
- Specialties & licenses3
- Addresses
- Other identifiers3
- Other names1
- NPI Registry JSON
- Other providers in Eupora, MS
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- WALGREEN CO
- Practice address
- 1357 Veterans Memorial Blvd
Eupora, MS 39744-2064 - Phone
- (662) 258-2631
- Fax
- (662) 258-3868
- NPI assigned
- Nov 3, 2006
- Organization subpart
- Yes
- Parent organization
- WALGREENS BOOTS ALLIANCE INC
Authorized official
NPPES NPI Registry- Name
- Jennifer Ponce
- Title
- Manager
- Phone
- (847) 527-2489
Practitioners 17
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Eupora, MS
- NPI 1871946921
-
- Pharmacist
- Eupora, MS
- NPI 1982566543
-
- Pharmacist
- Grenada, MS
- NPI 1144652397
-
- Pharmacist
- Eupora, MS
- NPI 1831573526
-
- Pharmacist
- Eupora, MS
- NPI 1073997771
-
- Pharmacist
- Dyersburg, TN
- NPI 1285758946
-
- Pharmacist
- Milan, TN
- NPI 1053517060
-
- Pharmacist
- Paris, TN
- NPI 1992054753
-
- Pharmacist
- Memphis, TN
- NPI 1912281304
-
- Pharmacist
- Jonesboro, AR
- NPI 1588894836
-
- Pharmacist
- Memphis, TN
- NPI 1730222621
-
- Family Nurse Practitioner
- Fayetteville, AR
- NPI 1093913568
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2239297 | Walgreens #15804 | Certificate of waiver | Oct 10, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Murphy Drug #15804 by Walgreens | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131211000529 | MS | DME Supplier - Pharmacy | 0941278253 | Practice locations: Eupora, MS |
| O20210616002241 | MS | Part B Supplier - Independent Clinical Laboratory | 0941278253 | This NPI is an additional NPI on the enrollment |
All facility ownership & control disclosures 77
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| At Home Care | Home health agency | 5% Or Greater Indirect Ownership Interest (29%) | Apr 16, 2021 |
| Adoration Home Health and Hospice Care East Tennessee | Home health agency | 5% Or Greater Indirect Ownership Interest (29%) | May 17, 2019 |
| Adoration Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| Adoration Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| Adoration Home Health Care Mississippi | Home health agency | 5% Or Greater Indirect Ownership Interest (29%) | May 17, 2019 |
| Adoration Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| Option Care | Home health agency | 5% Or Greater Direct Ownership Interest (49%) | Mar 31, 2015 |
| Adoration Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| Adoration Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| Adoration Home Health LLC | Home health agency | 5% Or Greater Indirect Ownership Interest (29%) | Mar 5, 2019 |
| Adoration Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (29%) | Apr 16, 2021 |
| @Heart Homecare | Home health agency | 5% Or Greater Indirect Ownership Interest (29%) | Aug 1, 2022 |
| Adoration Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| Adoration Home Health Nashville South | Home health agency | 5% Or Greater Indirect Ownership Interest (29%) | Jan 1, 2021 |
| Adoration Home Health Martin | Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Jan 13, 2025 |
| Adoration Home Health McMinnville | Home health agency | 5% Or Greater Indirect Ownership Interest (29%) | Jan 1, 2021 |
| Adoration Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (29%) | Mar 1, 2020 |
| Adoration Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (29%) | Mar 1, 2020 |
| Adoration Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (29%) | Mar 1, 2020 |
| Adoration Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (29%) | Mar 1, 2020 |
| Adoration Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (29%) | Mar 1, 2020 |
| Adoration Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (29%) | Jan 1, 2021 |
| Adoration Home Health and Hospice | Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Dec 30, 2024 |
| Adoration Home Health Baltimore | Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Jan 9, 2025 |
| Adoration Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (29%) | Aug 20, 2023 |
| Adoration Home Health Marlboro | Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Aug 20, 2023 |
| Adoration Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Mar 1, 2023 |
| Adoration Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Feb 17, 2023 |
| Adoration Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (29%) | Sep 1, 2024 |
| Adoration Home Health Care Rhode Island | Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Sep 1, 2025 |
| Hospice of North Alabama, LLC | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| Hospice Home Care of Pine Bluff, LLC | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Nov 1, 2021 |
| Adoration Home Health and Hospice Care Mississippi | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | May 17, 2019 |
| Hospice Home Care of Monticello | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Nov 1, 2021 |
| Springhill Home Health & Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| Compassioncare Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| Grane Hospice Care | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Apr 16, 2021 |
| Oasis Healthcare, Inc. | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Apr 16, 2021 |
| Grane Hospice Care | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| Allay Home & Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Sep 2, 2021 |
| Hospice Home Care, LLC | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Nov 1, 2021 |
| Adoration Hospice Care Mississippi | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | May 17, 2019 |
| Adoration Home Health and Hospice Care East Tennessee | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | May 17, 2019 |
| Apreva Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Jan 30, 2024 |
| Ohio Valley Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Apr 16, 2021 |
| Spring Valley Hospice, LLC | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Nov 1, 2021 |
| Adoration Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Apr 16, 2021 |
| Grane Hospice Care | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| Athc - Hospice, LLC | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| All Saints Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Nov 1, 2021 |
| Sacred Journey Hospice, LLC | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Dec 9, 2020 |
| Embrace Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| Grane Hospice Care | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Apr 16, 2021 |
| Abode Hospice of Colorado | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Apr 16, 2021 |
| Abode Hospice of Colorado | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Apr 16, 2021 |
| Hospice of the Midwest LLC | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Apr 16, 2021 |
| Adoration Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Mar 5, 2019 |
| Athc - Hospice, LLC | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| Hospice of the Midwest | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| Compassioncare Hospice Reno | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Apr 16, 2021 |
| @Heart Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Aug 1, 2022 |
| Embrace Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| Spring Valley Hospice of Tupelo | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Nov 1, 2021 |
| Abode Hospice of Colorado | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Apr 16, 2021 |
| Embrace Hospice | Hospice | 5% Or Greater Indirect Ownership Interest | Mar 5, 2019 |
| Sacred Journey Hospice, LLC | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Dec 9, 2020 |
| Athc - Hospice, LLC | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| Embrace Hospice | Hospice | 5% Or Greater Indirect Ownership Interest | Mar 5, 2019 |
| Athc - Hospice, LLC | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Apr 16, 2021 |
| Abode Hospice of Colorado | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Apr 16, 2021 |
| Generations Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Sep 2, 2021 |
| Adoration Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Jun 1, 2021 |
| Adoration Home Health and Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Sep 1, 2021 |
| Sacred Journey Hospice, LLC | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Dec 9, 2020 |
| Hospice of the Midwest | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Apr 16, 2021 |
| Adoration Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (29%) | Aug 20, 2023 |
| Haven Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Sep 1, 2024 |
National Provider Directory
National Provider Directory- Tax ID family
- Walgreen Co
- Part of
- Walgreens Holding Company
Member of 16
Organizations this organization is a member of, according to the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Sauk Rapids, MN
- NPI 1891746111
Member Of
-
- Home Infusion Therapy Pharmacy
- Nashville, TN
- NPI 1326279746
Member Of
Organizations with this tax ID in the same state 14
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Pharmacy
- Tupelo, MS
- NPI 1003038324
-
- Pharmacy
- Tupelo, MS
- NPI 1003821265
-
- Pharmacy
- Waynesboro, MS
- NPI 1013168053
-
- Pharmacy
- Jackson, MS
- NPI 1013922277
-
- Pharmacy
- Richland, MS
- NPI 1023023264
-
- Pharmacy
- Horn Lake, MS
- NPI 1063428530
-
- Pharmacy
- Brookhaven, MS
- NPI 1093720252
-
- Pharmacy
- Long Beach, MS
- NPI 1114932357
-
- Pharmacy
- Ellisville, MS
- NPI 1144576182
-
- Pharmacy
- Ocean Springs, MS
- NPI 1144743238
-
- Pharmacy
- Jackson, MS
- NPI 1154337624
-
- Pharmacy
- Vicksburg, MS
- NPI 1164945374
Locations (25 of 87)
1024 Military Rd
#1017
Benton, AR 72015
Phone (501) 778-7456
1024 Military Rd
Benton, AR 72015
Phone (501) 778-7456
1101 N Walton Blvd
Bentonville, AR 72712
Phone (479) 273-3394
1101 N Walton Blvd
#1030
Bentonville, AR 72712
Phone (479) 273-3394
3525 Highway 5 N
#18
Bryant, AR 72019
Phone (501) 847-5410
3525 Highway 5 N
Bryant, AR 72019
Phone (501) 847-5410
1572 N College Ave
Fayetteville, AR 72703
Phone (479) 521-3200
1572 N College Ave
#1013
Fayetteville, AR 72703
Phone (479) 521-3200
2111 W Martin Luther King Jr Blvd
Fayetteville, AR 72701
Phone (479) 442-5225
1111 N Washington St
#D
Forrest City, AR 72335
Phone (870) 633-4463
202 W Bower Ave
#1026
Harrison, AR 72601
Phone (870) 741-3453
202 W Bower Ave
Harrison, AR 72601
Phone (870) 741-3453
5462 Central Ave
Hot Springs, AR 71913
Phone (501) 525-3288
531 W Grand Ave
#1011
Hot Springs, AR 71901
Phone (501) 624-2538
100 Airport Rd
#1027
Hot Springs, AR 71913
Phone (501) 624-0669
1340 Higdon Ferry Rd
#C
Hot Springs, AR 71913
Phone (501) 623-8787
531 W Grand Ave
Hot Springs, AR 71901
Phone (501) 624-2538
100 Airport Rd
Hot Springs National Park, AR 71913
Phone (501) 624-0669
533 W Nettleton Ave
Jonesboro, AR 72401
Phone (870) 932-1014
533 W Nettleton Ave
#D
Jonesboro, AR 72401
Phone (870) 932-1014
4010 W 12th St
Little Rock, AR 72204
Phone (501) 614-2492
105 N Rodney Parham Rd
Ste 3
Little Rock, AR 72205
Phone (501) 225-6211
11108 N Rodney Parham Rd
Little Rock, AR 72212
Phone (501) 223-6944
6115 Baseline Rd
Little Rock, AR 72209
Phone (501) 562-2348
4010 W 12th St
#1006
Little Rock, AR 72204
Phone (501) 663-9497
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 01855/01.1 | MS | |
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X | E5353 | MS |
Addresses
NPPES NPI RegistryPrimary practice location
1357 Veterans Memorial Blvd
Eupora, MS 39744-2064
Mailing address
1901 E Voorhees St
Ms 790
Danville, IL 61834-4515
Phone (847) 527-2489
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2503301 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 01587314 | Medicaid | MS | |
| 04681717 | Medicaid | MS |
Other names 1
NPPES NPI Registry- Murphy Drug #15804, Powered by Walgreens
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2025.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1013096783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 E VOORHEES ST",
"address_2": "MS 790",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618344515",
"telephone_number": "847-527-2489",
"fax_number": "217-709-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1357 VETERANS MEMORIAL BLVD",
"city": "EUPORA",
"state": "MS",
"postal_code": "397442064",
"telephone_number": "662-258-2631",
"fax_number": "662-258-3868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREEN CO",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WALGREENS BOOTS ALLIANCE INC",
"enumeration_date": "2006-11-03",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "PONCE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "847-527-2489"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": "01855/01.1",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MS",
"license": "E5353",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2503301",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01587314",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04681717",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Murphy Drug #15804, Powered by Walgreens",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Murphy Drug #15804, Powered by Walgreens",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eupora, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.