Walgreen Co

Primary specialty

PharmacyTaxonomy code 333600000X

License

135 Issued in IA

Legal business name

WALGREEN CO

Doing business as

Walgreens #05077

Practice address

2214 Muscatine Ave
Iowa City, IA 52240-6600

Phone

(319) 354-2670

NPI assigned

Jul 29, 2006

Last updated

Jun 17, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

WALGREENS BOOTS ALLIANCE INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Ponce

Title

Manager

Phone

(847) 527-2489

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• WALGREENS #05077 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX, IA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Walgreen Co8,684 organizations share this tax ID, including this one

Part of

Walgreens Holding Company

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Walgreen Co

  dba Walgreens #03773

  • Pharmacy
  • Urbandale, IA
  • NPI 1689680068
  NPD tax ID
• Walgreen Co

  dba Walgreens #05852

  • Pharmacy
  • Des Moines, IA
  • NPI 1699780916
  NPD tax ID
• Walgreen Co

  dba Walgreens #10855

  • Pharmacy
  • Waterloo, IA
  • NPI 1699934562
  NPD tax ID
• Walgreen Co

  dba Walgreens #11330

  • Pharmacy
  • Storm Lake, IA
  • NPI 1699956672
  NPD tax ID
• Walgreen Co

  dba Walgreens #07454

  • Pharmacy
  • Ankeny, IA
  • NPI 1700891017
  NPD tax ID
• Walgreen Co

  dba Walgreens #03196

  • Pharmacy
  • Marshalltown, IA
  • NPI 1710992029
  NPD tax ID
• Walgreen Co

  dba Walgreens #04405

  • Pharmacy
  • Council BLFS, IA
  • NPI 1720093032
  NPD tax ID
• Walgreen Co

  dba Walgreens # 12580

  • Pharmacy
  • Cedar Rapids, IA
  • NPI 1740597525
  NPD tax ID
• Walgreen Co

  dba Walgreens #11759

  • Pharmacy
  • Fort Madison, IA
  • NPI 1760620918
  NPD tax ID
• Walgreen Co

  dba Walgreens #03590

  • Pharmacy
  • Waterloo, IA
  • NPI 1790790004
  NPD tax ID
• Walgreen Co

  dba Walgreens Specialty Pharmacy #16528

  • Pharmacy
  • Des Moines, IA
  • NPI 1801339635
  NPD tax ID
• Walgreen Co

  dba Walgreens #07967

  • Pharmacy
  • Clive, IA
  • NPI 1831105428
  NPD tax ID

Member of 13

Organizations this organization is a member of, according to the National Provider Directory.

• Cypress Home Medical Inc

  dba Option Care of Southwest Florida

  • Home Infusion Therapy Pharmacy
  • Fort Myers, FL
  • NPI 1437188315

  Member Of

  NPD member
• Healthcare Options of Minnesota, Inc.

  dba Option Care

  • Home Infusion Therapy Pharmacy
  • Sauk Rapids, MN
  • NPI 1891746111

  Member Of

  NPD member
• I.V. Associates, Inc.

  dba Option Care

  • Home Infusion Therapy Pharmacy
  • Eatontown, NJ
  • NPI 1811940810

  Member Of

  NPD member
• Option Care at Legacy Health LLC

  dba Option Care at Legacy Health

  • Home Infusion Agency
  • Bend, OR
  • NPI 1861099681

  Member Of

  NPD member
• Option Care Enterprises, Inc.

  dba Option Care

  • Home Infusion Agency
  • Grand Rapids, MI
  • NPI 1477151553

  Member Of

  NPD member
• Option Care Infusion Services, LLC

  dba Vanderbilt HC/Option Care IV Services

  • Home Infusion Therapy Pharmacy
  • Nashville, TN
  • NPI 1326279746

  Member Of

  NPD member
• Trinity Homecare LLC

  dba Option Care

  • Home Infusion Therapy Pharmacy
  • Ridgewood, NY
  • NPI 1518036458

  Member Of

  NPD member
• TSL Inc

  dba OptionCare

  • Home Infusion Therapy Pharmacy
  • Merrillville, IN
  • NPI 1942269956

  Member Of

  NPD member
• Walgreen Co

  dba Walgreens #04266

  • Pharmacy
  • Tucson, AZ
  • NPI 1316953789

  Member Of

  NPD member
• Walgreen Co

  dba Walgreens #03269

  • Pharmacy
  • Hastings, NE
  • NPI 1891700837

  Member Of

  NPD member
• Walgreen Louisiana Co Inc

  dba Walgreens #04140

  • Pharmacy
  • Thibodaux, LA
  • NPI 1205841467

  Member Of

  NPD member
• Walgreen Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Mokena, IL
  • NPI 1215195730

  Member Of

  NPD member

All facility ownership & control disclosures 77

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jahnavi Parth Amin, PHARMD

  • Pharmacist
  • Iowa City, IA
  • NPI 1295005890

  Community/Retail Pharmacy

  NPD (past)
• Lucas J Bartlett, PHARMD

  • Pharmacist
  • Iowa City, IA
  • NPI 1164704540
  NPD (past)
• Erika Leigh Hilleman, PHARMD

  • Pharmacist
  • Iowa City, IA
  • NPI 1659996809
  NPD (past)
• Angela Marie Hunter

  • Pharmacist
  • Coralville, IA
  • NPI 1417239161
  NPD (past)
• Jodi Langstaff, PHARMD

  • Pharmacist
  • Iowa City, IA
  • NPI 1013290956
  NPD (past)
• Sandra Martinez, PHARMD

  • Pharmacist
  • Iowa City, IA
  • NPI 1265716880
  NPD (past)
• Courtney Maust

  • Pharmacist
  • Iowa City, IA
  • NPI 1497130553
  NPD (past)
• Nicole Sivertsen

  • Pharmacist
  • Waterloo, IA
  • NPI 1548645724
  NPD (past)
• Maureen Marie Smith, PHARMD

  • Pharmacist
  • Iowa City, IA
  • NPI 1669060877
  NPD (past)
• Louis Lado Kamillo Swaka

  • Pharmacist
  • Iowa City, IA
  • NPI 1548844285
  NPD (past)
• Kristin E Sweat, RPH

  • Pharmacist
  • Iowa City, IA
  • NPI 1932476454
  NPD (past)
• Walt Yucheng Wang, PHARMD

  • Pharmacist
  • Cedar Rapids, IA
  • NPI 1962202176
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1801801113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E VOORHEES ST # 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": "2214 MUSCATINE AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406600",
            "telephone_number": "319-354-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEN CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALGREENS BOOTS ALLIANCE INC",
        "enumeration_date": "2006-07-29",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "135",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1601473",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084368",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALGREENS #05077",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WALGREENS #05077",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wal-Mart Stores, Inc. (Vision Center 30-1721)
• Moshe Wald, MD
• Debra Beth Waldron, M.D., M.P.H.
• Benjamin Michael Waletzko, MD
• Walgreen Co (Walgreens Specialty Pharmacy #21250)
• Lexus R Walgren, BCBA
• Mackenzie L Walhof, MD
• Anureet Walia, M.D.
• Stephany Lynne Walk, DNP, ARNP, CPNP-PC
• Alexis Shante Walker, RT

• Pharmacy in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.