Organization · Type 2 NPI

Walgreen Co

Pharmacy · Charleston, SC

NPI number 1639577166 Active

Practice location

380 King St
Charleston, SC 29401-1411

Call (843) 714-6243 Map

Fax (843) 714-6538

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	15686 (SC)
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

Brittainy Romberger, PharmDPharmacist Charleston, SC NPI 1467759803

Other pharmacy providers in Charleston

See all in Charleston →

NPI record

NPI: 1639577166
Entity type: Organization (Type 2)
Issued: Dec 16, 2014
Last updated: Oct 21, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #15512 · doing business as
Walgreens #15512 · 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 1639577166

Walgreen Co's National Provider Identifier is 1639577166, issued on Dec 16, 2014. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Charleston, SC. The record was last updated on Oct 21, 2026.