Walgreen Co

Pharmacy · Portland, OR

Organization Active NPI

NPI number 1316952393

Practice location

2103 W Burnside St
Portland, OR 97210-3519
Phone
(503) 295-6480
Fax
(503) 295-6543

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NPI record

NPI
1316952393
Entity type
Organization (Type 2)
Enumeration date
July 29, 2006
Last updated
March 27, 2026
Certified
March 27, 2026
Organization subpart
Yes
Parent organization
Walgreens Boots Alliance Inc

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 1647 OR
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 #04495
  • Walgreens #04495

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 2103 W Burnside St, Portland, OR 97210-3519. The NPI number 1316952393 was assigned on July 29, 2006 and the record was last updated on March 27, 2026.

Walgreen Co lists a license in the registry: #1647 (OR) 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 1316952393.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (503) 295-6480.

Where is Walgreen Co located?

2103 W Burnside St, Portland, OR 97210-3519.

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.

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