Organization · Type 2 NPI

Walgreen Co

Pharmacy · Iowa City, IA

NPI number 1639739055 Active

Practice location

1029 S Riverside Dr Ste 100
Iowa City, IA 52246-5616

Call (319) 471-4285 Map

Fax (319) 471-4301

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4509

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…

Other pharmacy providers in Iowa City

See all in Iowa City →

NPI record

NPI: 1639739055
Entity type: Organization (Type 2)
Issued: Jun 18, 2019
Last updated: Oct 12, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens Specialty Pharmacy #21250 · 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 1639739055

Walgreen Co's National Provider Identifier is 1639739055, issued on Jun 18, 2019. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Iowa City, IA. The record was last updated on Oct 12, 2026.