Walgreen Co

Pharmacy · Meridian, MS

Organization Active NPI

NPI number 1417192766

Practice location

4910 Poplar Springs Dr
Meridian, MS 39305-1685
Phone
(601) 483-3997
Fax
(601) 483-9872

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NPI record

NPI
1417192766
Entity type
Organization (Type 2)
Enumeration date
December 15, 2008
Last updated
June 3, 2026
Certified
June 3, 2026
Organization subpart
Yes
Parent organization
Walgreens Holding Company

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 07969/01.2 MS
Durable Medical Equipment & Medical Supplies 332B00000X — —
Clinic Pharmacy 3336C0002X — —

Mailing address

1901 E Voorhees St
Ms #790
Danville, IL 61834-4509
Phone
(847) 527-2489
Fax
(217) 709-2344

Authorized official

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

Other names

  • Walgreens #12537
  • Walgreens #12537

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 4910 Poplar Springs Dr, Meridian, MS 39305-1685. The NPI number 1417192766 was assigned on December 15, 2008 and the record was last updated on June 3, 2026.

Walgreen Co lists a license in the registry: #07969/01.2 (MS) 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 1417192766.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (601) 483-3997.

Where is Walgreen Co located?

4910 Poplar Springs Dr, Meridian, MS 39305-1685.

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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