Walgreen Co.

Pharmacy · Minneapolis, MN

Organization Active NPI

NPI number 1013280403

Practice location

2100 Lyndale Ave S Ste a
Minneapolis, MN 55405
Phone
(612) 872-7808
Fax
(612) 874-1084

Open in Google Maps

NPI record

NPI
1013280403
Entity type
Organization (Type 2)
Enumeration date
February 15, 2012
Last updated
September 9, 2026
Certified
September 9, 2026
Organization subpart
Yes
Parent organization
Walgreens Holding Company

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 263842 MN
Durable Medical Equipment & Medical Supplies 332B00000X — —
Community/Retail Pharmacy 3336C0003X — —

Mailing address

1901 E Voorhees St
Danville, IL 61834-4515
Phone
(847) 527-2489
Fax
(217) 709-2344

Authorized official

Name
Jennifer Ponce
Title
Manager
Phone
(847) 527-2489

Other names

  • Walgreens Specialty Pharmacy #15309

About Walgreen Co.

Walgreen Co. is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 2100 Lyndale Ave S Ste a, Minneapolis, MN 55405. The NPI number 1013280403 was assigned on February 15, 2012 and the record was last updated on September 9, 2026.

Walgreen Co. lists a license in the registry: #263842 (MN) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Jennifer Ponce, Manager.

Frequently asked questions

What is the NPI number of Walgreen Co.?

The NPI number is 1013280403.

What is the phone number of Walgreen Co.?

The phone number listed for the practice location is (612) 872-7808.

Where is Walgreen Co. located?

2100 Lyndale Ave S Ste a, Minneapolis, MN 55405.

What is the taxonomy code for Walgreen Co.?

The primary taxonomy code is 333600000X – Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pharmacy providers in Minneapolis

All Pharmacy providers in Minneapolis, MN →