Walgreen Co

Pharmacy · Fairfax, VA

Organization Active NPI

NPI number 1659662237

Practice location

3050a Nutley St
Fairfax, VA 22031-1924
Phone
(703) 280-8259
Fax
(703) 280-0929

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NPI record

NPI
1659662237
Entity type
Organization (Type 2)
Enumeration date
April 29, 2011
Last updated
August 28, 2026
Certified
August 28, 2026
Organization subpart
Yes
Parent organization
Walgreens Holding Company

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 0201004397 VA
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 #11297
  • Walgreens #11297

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 3050a Nutley St, Fairfax, VA 22031-1924. The NPI number 1659662237 was assigned on April 29, 2011 and the record was last updated on August 28, 2026.

Walgreen Co lists a license in the registry: #0201004397 (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 1659662237.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (703) 280-8259.

Where is Walgreen Co located?

3050a Nutley St, Fairfax, VA 22031-1924.

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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