Walgreen Co

Pharmacy · Port Isabel, TX

Organization Active NPI

NPI number 1053577270

Practice location

1673 W Queen Isabella Blvd
Port Isabel, TX 78578-2806
Phone
(956) 943-3754
Fax
(956) 943-7048

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NPI record

NPI
1053577270
Entity type
Organization (Type 2)
Enumeration date
August 7, 2008
Last updated
November 24, 2025
Certified
November 24, 2025
Organization subpart
Yes
Parent organization
Walgreens Boots Alliance Inc

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 26152 TX
Clinical Medical Laboratory 291U00000X — —
Durable Medical Equipment & Medical Supplies 332B00000X — —
Community/Retail Pharmacy 3336C0003X — —

Mailing address

1901 E Voorhees St
Ms 790
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 #11672
  • Walgreens #11672

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 1673 W Queen Isabella Blvd, Port Isabel, TX 78578-2806. The NPI number 1053577270 was assigned on August 7, 2008 and the record was last updated on November 24, 2025.

Walgreen Co lists a license in the registry: #26152 (TX) 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 1053577270.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (956) 943-3754.

Where is Walgreen Co located?

1673 W Queen Isabella Blvd, Port Isabel, TX 78578-2806.

What is the taxonomy code for Walgreen Co?

The primary taxonomy code is 333600000X – Pharmacy; 3 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.