Organization · Type 2 NPI

Walgreen Co

Pharmacy · El Paso, TX

NPI number 1164990768 Active

Practice location

2701 N Mesa St Ste 100A
El Paso, TX 79902-2543

Call (915) 444-3423 Map

Fax (615) 444-3424

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…

2 other providers at this address

Other pharmacy providers in El Paso

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NPI record

NPI: 1164990768
Entity type: Organization (Type 2)
Issued: Nov 13, 2018
Last updated: Oct 21, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

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Walgreens Specialty Pharmacy #21172 · 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 1164990768

Walgreen Co's National Provider Identifier is 1164990768, issued on Nov 13, 2018. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in El Paso, TX. The record was last updated on Oct 21, 2026.