| NPI | 1063427045 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-07-29 |
| Last Updated | 2026-01-23 |
| Authorized Official | Jennifer Ponce Manager Phone: 8475272489 |
| Mailing Address | 1901 E Voorhees St, Ms #790 Danville, IL 61834-4515 United States Phone: (847) 527-2489 | Fax: (217) 709-2344 📍 View Map |
| Primary Practice Address | 1000 E Carl Albert Pkwy Mcalester, OK 74501-5121 United States Phone: (918) 426-7657 | Fax: (918) 429-0794 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OK | 100245370G | - |
| MEDICAID | OK | 100245370H DME | - |
| Other (non-Medicare) | - | 3724324 | Other ID Number-Commercial Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
| Yes | 333600000X – Pharmacy | OK | 15-5034 |
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About NPI 1063427045
Walgreen Co is an organization registered in the CMS NPPES NPI Registry with NPI number 1063427045. The primary specialty listed is Pharmacy. The organization is located in Mcalester, OK. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063427045?
NPI 1063427045 belongs to Walgreen Co, a Pharmacy in Mcalester, OK. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063427045 active?
The current status of NPI 1063427045 in the NPPES registry is Active. The record was last updated on 2026-01-23.
What specialty is NPI 1063427045?
NPI 1063427045 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063427045?
You can verify NPI 1063427045 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063427045?
The primary practice address on file for NPI 1063427045 is 1000 E Carl Albert Pkwy, Mcalester, OK 74501-5121. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063427045 issued?
NPI 1063427045 was first issued (enumerated) on 2006-07-29. The NPPES record was last updated on 2026-01-23.
Practice Location Map
Walgreen Co is located at 1000 E Carl Albert Pkwy, Mcalester, OK. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Walgreen Co. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063427045. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | 15-5034 | OK |