Walgreen Co

Pharmacy · Simi Valley, CA

Organization Active NPI

NPI number 1790017622

Practice location

2417 Sycamore Dr
Simi Valley, CA 93065-2301
Phone
(805) 426-3722
Fax
(805) 426-3728

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NPI record

NPI
1790017622
Entity type
Organization (Type 2)
Enumeration date
February 3, 2010
Last updated
June 9, 2026
Certified
June 9, 2026
Organization subpart
Yes
Parent organization
Walgreens Holding Company

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X — —
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 #10354
  • Walgreens #10354

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 2417 Sycamore Dr, Simi Valley, CA 93065-2301. The NPI number 1790017622 was assigned on February 3, 2010 and the record was last updated on June 9, 2026.

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 1790017622.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (805) 426-3722.

Where is Walgreen Co located?

2417 Sycamore Dr, Simi Valley, CA 93065-2301.

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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