Organization · Type 2 NPI

Walgreen Co

Pharmacy · Champaign, IL

NPI number 1235404245 Active

Practice location

1801 W Windsor Rd Ste 101
Champaign, IL 61822-6217

Call (217) 366-1225 Map

Fax (217) 366-8058

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…

Another provider at this address

Beau Hammer, PharmDPharmacist Champaign, IL NPI 1386329589

Other pharmacy providers in Champaign

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NPI record

NPI: 1235404245
Entity type: Organization (Type 2)
Issued: Mar 9, 2012
Last updated: Sep 23, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #15282 · doing business as
Walgreens #15282 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

Verify this record

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 1235404245

Walgreen Co's National Provider Identifier is 1235404245, issued on Mar 9, 2012. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Champaign, IL. The record was last updated on Sep 23, 2026.