| NPI | 1093912354 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-06-29 |
| Last Updated | 2026-02-09 |
| 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 | 4022 N Belt Hwy Saint Joseph, MO 64506-1313 United States Phone: (816) 364-0376 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 2637417 | NCPDP |
| Other (non-Medicare) | MO | 606328805 | MO MEDICAID |
| Other (non-Medicare) | MO | 626328801 | MO DME |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| Yes | 333600000X – Pharmacy | MO | 2007021473 |
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About NPI 1093912354
Walgreen Co is an organization registered in the CMS NPPES NPI Registry with NPI number 1093912354. The primary specialty listed is Pharmacy. The organization is located in Saint Joseph, MO. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-06-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093912354?
NPI 1093912354 belongs to Walgreen Co, a Pharmacy in Saint Joseph, MO. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093912354 active?
The current status of NPI 1093912354 in the NPPES registry is Active. The record was last updated on 2026-02-09.
What specialty is NPI 1093912354?
NPI 1093912354 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 1093912354?
You can verify NPI 1093912354 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 1093912354?
The primary practice address on file for NPI 1093912354 is 4022 N Belt Hwy, Saint Joseph, MO 64506-1313. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093912354 issued?
NPI 1093912354 was first issued (enumerated) on 2007-06-29. The NPPES record was last updated on 2026-02-09.
Practice Location Map
Walgreen Co is located at 4022 N Belt Hwy, Saint Joseph, MO. 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 1093912354. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | 2007021473 | MO |