Walgreen Co
Pharmacy · Gate City, VA
Practice location
119 E Jackson StSte 101
Gate City, VA 24251-3418
- Phone
- (276) 386-3821
- Fax
- (276) 386-7582
NPI record
- NPI
- 1619214277
- Entity type
- Organization (Type 2)
- Enumeration date
- January 15, 2013
- Last updated
- August 8, 2025
- Certified
- August 8, 2025
- Organization subpart
- Yes
- Parent organization
- Walgreens Boots Alliance Inc
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X |
020100069 | VA |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
— | — |
| Community/Retail Pharmacy | 3336C0003X |
— | — |
Mailing address
1901 E Voorhees StMs 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
- Broadwater Drug #15669, Powered by Walgreens
- Broadwater Drug #15669, Powered by Walgreens
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 119 E Jackson St, Ste 101, Gate City, VA 24251-3418. The NPI number 1619214277 was assigned on January 15, 2013 and the record was last updated on August 8, 2025.
Walgreen Co lists a license in the registry: #020100069 (VA) 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 1619214277.
What is the phone number of Walgreen Co?
The phone number listed for the practice location is (276) 386-3821.
Where is Walgreen Co located?
119 E Jackson St, Ste 101, Gate City, VA 24251-3418.
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 Gate City
- Virginia CVS Pharmacy LLC241 Gateway PLZ Ste 105