Organization · Type 2 NPI

Walgreen Co

Pharmacy · Mesa, AZ

NPI number 1861720989 Active

Practice location

10825 E Baseline Rd
Mesa, AZ 85209-7798

Call (480) 455-6311 Map

Fax (480) 455-6308

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	Y005213 (AZ)
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

Thuyvi Ngoc TranPharmacist Mesa, AZ NPI 1285151621

Other pharmacy providers in Mesa

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NPI record

NPI: 1861720989
Entity type: Organization (Type 2)
Issued: Dec 1, 2009
Last updated: Aug 17, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #12335 · doing business as
Walgreens #12335 · 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 1861720989

Walgreen Co's National Provider Identifier is 1861720989, issued on Dec 1, 2009. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Mesa, AZ. The record was last updated on Aug 17, 2026.