Walgreen Co

Primary specialty

PharmacyTaxonomy code 333600000X

License

1-4480 Issued in OK

Legal business name

WALGREEN CO

Practice address

1601 S Air Depot Blvd
Midwest City, OK 73110-5101

Phone

(405) 737-2637

NPI assigned

Aug 2, 2006

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 3

Other names 1

• WALGREENS #05967 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX, OK3 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 24

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

• Walgreen Co

  • Community/Retail Pharmacy
  • Tulsa, OK
  • NPI 1740364884
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Broken Arrow, OK
  • NPI 1760638035
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Del City, OK
  • NPI 1770598732
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Broken Arrow, OK
  • NPI 1780691667
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Tulsa, OK
  • NPI 1780699744
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Bartlesville, OK
  • NPI 1780699751
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Oklahoma City, OK
  • NPI 1790790764
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Weatherford, OK
  • NPI 1790790772
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Lawton, OK
  • NPI 1790792679
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Broken Arrow, OK
  • NPI 1801803713
  NPD tax ID
• Walgreen Co

  • Community/Retail Pharmacy
  • Sand Springs, OK
  • NPI 1811071954
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Tahlequah, OK
  • NPI 1861662173
  NPD tax ID

Member of 16

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

Locations

All facility ownership & control disclosures 77

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

Practitioners 7

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

• Grace Ayerkai Amedzro, PHARMD

  • Pharmacist
  • Midwest City, OK
  • NPI 1326764903
  NPD (past)
• Kristy Birchfield, PHARMD

  • Pharmacist
  • Midwest City, OK
  • NPI 1871874883
  NPD (past)
• Long Nguyen Le

  • Pharmacist
  • Midwest City, OK
  • NPI 1538830823
  NPD (past)
• Melanie Le, PHARMD

  • Pharmacist
  • Midwest City, OK
  • NPI 1134505100
  NPD (past)
• Quy Nhu Nguyen

  • Pharmacist
  • Midwest City, OK
  • NPI 1033767819
  NPD (past)
• Roshan Patel, PHARM.D.

  • Pharmacist
  • Midwest City, OK
  • NPI 1649782780
  NPD (past)
• Melissa Smith, PHARM. D.

  • Pharmacist
  • Midwest City, OK
  • NPI 1275909038
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1871500751",
    "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": "1601 S AIR DEPOT BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731105101",
            "telephone_number": "405-737-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEN CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALGREENS BOOTS ALLIANCE INC",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "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": "OK",
            "license": "1-4480",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246680B DME",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246680A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3722851",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALGREENS #05967",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WALGREENS #05967",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariha Jo Wagner
• Brian Lee Wagoner, PHARM D.
• Wal-Mart Stores East LP
• Walgreen Co
• Walgreen Co
• Shirley Walker-Mitchell, BHRS
• Makayla Walker, PT / US
• Shelbie Walker
• Kristy Marie Wall, MASSAGE THERAPIST
• Emily Walls

• Pharmacy in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.