Organization · Type 2 NPI

Walgreen Co

Pharmacy · Canton, IL

NPI number 1497839633 Active

Practice location

555 N Main St
Canton, IL 61520-1829

Call (309) 647-7610 Map

Fax (309) 647-1588

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	054-019304 (IL)
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…

8 other providers at this address

NPI record

NPI: 1497839633
Entity type: Organization (Type 2)
Issued: Oct 24, 2006
Last updated: Oct 21, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #9920 · doing business as
Walgreens #9920 · 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.

Is this your record? How to update it.

About NPI 1497839633

Walgreen Co's National Provider Identifier is 1497839633, issued on Oct 24, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Canton, IL. The record was last updated on Oct 21, 2026.