Walgreen Co
Pharmacy · Peoria, IL
Practice location
10613 N Knoxville AvePeoria, IL 61615-1110
- Phone
- (309) 243-1176
- Fax
- (309) 243-1187
NPI record
- NPI
- 1770844623
- Entity type
- Organization (Type 2)
- Enumeration date
- June 6, 2012
- Last updated
- October 2, 2025
- Certified
- October 2, 2025
- Organization subpart
- Yes
- Parent organization
- Walgreens Boots Alliance Inc
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X |
054.019050 | IL |
| 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
- Walgreens # 12367
- Walgreens # 12367
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 10613 N Knoxville Ave, Peoria, IL 61615-1110. The NPI number 1770844623 was assigned on June 6, 2012 and the record was last updated on October 2, 2025.
Walgreen Co lists a license in the registry: #054.019050 (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 1770844623.
What is the phone number of Walgreen Co?
The phone number listed for the practice location is (309) 243-1176.
Where is Walgreen Co located?
10613 N Knoxville Ave, Peoria, IL 61615-1110.
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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