Organization · Type 2 NPI

Walgreen Co

Pharmacy · Grand Rapids, MI

NPI number 1518223403 Active

Practice location

4550 Cascade Rd SE
Grand Rapids, MI 49546-3674

Call (616) 957-8934 Map

Fax (616) 957-9015

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…

5 other providers at this address

Other pharmacy providers in Grand Rapids

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NPI record

NPI: 1518223403
Entity type: Organization (Type 2)
Issued: Apr 5, 2012
Last updated: Sep 23, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #12561 · doing business as
Walgreens #12561 · 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 1518223403

Walgreen Co's National Provider Identifier is 1518223403, issued on Apr 5, 2012. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 23, 2026.