Organization · Type 2 NPI

Walgreen Co

Pharmacy · Tarboro, NC

NPI number 1457775454 Active

Practice location

1519 N Main St
Tarboro, NC 27886-2519

Call (252) 824-0342 Map

Fax (252) 824-0348

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	11982 (NC)
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…

6 other providers at this address

Other pharmacy providers in Tarboro

Bryan DrugsPharmacy Tarboro, NC NPI 1407128978

See all in Tarboro →

NPI record

NPI: 1457775454
Entity type: Organization (Type 2)
Issued: Feb 11, 2014
Last updated: Oct 21, 2025
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #15475 · doing business as
Walgreens #15475 · 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 1457775454

Walgreen Co's National Provider Identifier is 1457775454, issued on Feb 11, 2014. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Tarboro, NC. The record was last updated on Oct 21, 2025.