Walgreen Co

Pharmacy · Springfield, IL

Organization Active NPI

NPI number 1629084181

Practice location

3216 E Clear Lake Ave
Springfield, IL 62702-6208
Phone
(217) 544-7948
Fax
(217) 544-0793

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NPI record

NPI
1629084181
Entity type
Organization (Type 2)
Enumeration date
August 1, 2006
Last updated
September 8, 2025
Certified
September 8, 2025
Organization subpart
Yes
Parent organization
Walgreens Boots Alliance Inc

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 54009962 IL
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 #02492
  • Walgreens #02492

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 3216 E Clear Lake Ave, Springfield, IL 62702-6208. The NPI number 1629084181 was assigned on August 1, 2006 and the record was last updated on September 8, 2025.

Walgreen Co lists a license in the registry: #54009962 (IL) 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 1629084181.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (217) 544-7948.

Where is Walgreen Co located?

3216 E Clear Lake Ave, Springfield, IL 62702-6208.

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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