Organization · Type 2 NPI

Walgreen Co

Pharmacy · Kissimmee, FL

NPI number 1053955377 Active

Practice location

1530 Celebration Blvd Ste 100RX
Kissimmee, FL 34747-5164

Call (321) 939-2579 Map

Fax (321) 939-2580

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4515

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

Other pharmacy providers in Kissimmee

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NPI record

NPI: 1053955377
Entity type: Organization (Type 2)
Issued: Oct 30, 2019
Last updated: Nov 24, 2025
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

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Center for Living Well-Celebration · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053955377

Walgreen Co's National Provider Identifier is 1053955377, issued on Oct 30, 2019. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Kissimmee, FL. The record was last updated on Nov 24, 2025.