Organization · Type 2 NPI

Walgreen Co

Pharmacy · Springfield, IL

NPI number 1841364635 Active

Practice location

747 N Rutledge St Ste 100
Springfield, IL 62702-6701

Call (217) 523-0846 Map

Fax (217) 523-1332

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	54016103 (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…

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NPI record

NPI: 1841364635
Entity type: Organization (Type 2)
Issued: Nov 20, 2006
Last updated: Nov 20, 2025
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

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Walgreens Specialty Pharmacy #10843 · 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 1841364635

Walgreen Co's National Provider Identifier is 1841364635, issued on Nov 20, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Springfield, IL. The record was last updated on Nov 20, 2025.