Organization · Type 2 NPI

Walgreen Co

Pharmacy · Springfield, MO

NPI number 1790792703 Active

Practice location

1955 S National Ave
Springfield, MO 65804-2214

Call (417) 881-6836 Map

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	2005000296 (MO)
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 Springfield

See all in Springfield →

NPI record

NPI: 1790792703
Entity type: Organization (Type 2)
Issued: Aug 2, 2006
Last updated: Nov 20, 2025
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #07743 · doing business as
Walgreens #07743 · 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 1790792703

Walgreen Co's National Provider Identifier is 1790792703, issued on Aug 2, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Springfield, MO. The record was last updated on Nov 20, 2025.