Organization · Type 2 NPI

Walgreen Co

Pharmacy · Grand Prairie, TX

NPI number 1992712905 Active

Practice location

507 S Carrier Pkwy
Grand Prairie, TX 75051-1511

Call (972) 237-2121 Map

Fax (972) 237-2112

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4515

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory	291U00000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	17168 (TX)
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…

3 other providers at this address

Other pharmacy providers in Grand Prairie

See all in Grand Prairie →

NPI record

NPI: 1992712905
Entity type: Organization (Type 2)
Issued: Aug 2, 2006
Last updated: Nov 21, 2025
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #03885 · doing business as
Walgreens #03885 · 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 1992712905

Walgreen Co's National Provider Identifier is 1992712905, issued on Aug 2, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Grand Prairie, TX. The record was last updated on Nov 21, 2025.