Walgreen Co

Primary specialty

PharmacyTaxonomy code 333600000X

License

11311 Issued in NC

Legal business name

WALGREEN CO

Practice address

101 S Tryon St Ste 22
Charlotte, NC 28280-0029

Phone

(704) 334-6262

Fax

(704) 334-6270

NPI assigned

Jul 13, 2012

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 # 15008 Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

Bond Drug Company of Illinois LLC13 organizations share this tax ID, including this one

Part of

Walgreens Holding Company

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

• Walgreen Co

  • Pharmacy
  • Charlotte, NC
  • NPI 1114229846
  NPD tax ID
• Bond Drug Company of Illinois LLC

  • Pharmacy
  • Deerfield, IL
  • NPI 1891099099
  NPD tax ID
• Bond Drug Company of Illinois, L.L.C.

  • Community/Retail Pharmacy
  • Deerfield, IL
  • NPI 1669755484
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Zion, IL
  • NPI 1245245489
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Arlington, TX
  • NPI 1346509619
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Anaheim, CA
  • NPI 1447696513
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Moultrie, GA
  • NPI 1457693004
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Camden, AR
  • NPI 1982787396
  NPD tax ID
• Walgreens

  • Community/Retail Pharmacy
  • Deerfield, IL
  • NPI 1114200938
  NPD tax ID
• Walgreens

  • Pharmacist
  • Chicago, IL
  • NPI 1144598194
  NPD tax ID
• Walgreens

  • Community/Retail Pharmacy
  • Skokie, IL
  • NPI 1457634057
  NPD tax ID
• Walgreens

  • Point of Service
  • Oak Forest, IL
  • NPI 1912284811
  NPD tax ID

Member of 18

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

• Cypress Home Medical Inc

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

  Member Of

  NPD member
• Healthcare Options of Minnesota, Inc.

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

  Member Of

  NPD member
• I.V. Associates, Inc.

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

  Member Of

  NPD member
• Mednow Infusion, LLC

  • Home Infusion Agency
  • Meridian, ID
  • NPI 1225645526

  Member Of

  NPD member
• Option Care at Legacy Health LLC

  • Home Infusion Therapy Pharmacy
  • Bend, OR
  • NPI 1174875017

  Member Of

  NPD member
• Option Care Enterprises, Inc.

  • Home Infusion Therapy Pharmacy
  • Chantilly, VA
  • NPI 1679896989

  Member Of

  NPD member
• Option Care Home Care, Inc.

  • Home Infusion Agency
  • Wauwatosa, WI
  • NPI 1396343471

  Member Of

  NPD member
• Option Care Infusion Services, LLC

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

  Member Of

  NPD member
• TSL Inc

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

  Member Of

  NPD member
• Walgreen Co

  • Pharmacy
  • Wilmington, DE
  • NPI 1093738643

  Member Of

  NPD member
• Walgreen Co

  • Pharmacy
  • Phoenix, AZ
  • NPI 1356356695

  Member Of

  NPD member
• Walgreen Co

  • Pharmacy
  • Rio Rancho, NM
  • NPI 1528073426

  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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Rodzevik, PHARM D

  • Pharmacist
  • Charlotte, NC
  • NPI 1992253280
  NPD (past)
• Andrew McMillan, PHARM.D.

  • Pharmacist
  • Sault Sainte Marie, MI
  • NPI 1659760981
  NPD (past)

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1831454040",
    "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": "101 S TRYON ST STE 22",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282800029",
            "telephone_number": "704-334-6262",
            "fax_number": "704-334-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEN CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALGREENS BOOTS ALLIANCE INC",
        "enumeration_date": "2012-07-13",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "11311",
            "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": "NCPDP",
            "identifier": "3460211",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0602721",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALGREENS # 15008",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WALGREENS # 15008",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co

• All providers in Charlotte, NC
• Pharmacy in North Carolina

• 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.

Verify at the official NPI Registry.