| NPI | 1114229846 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2010-12-01 |
| Last Updated | 2026-01-12 |
| 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 | 11200 Providence Rd W Charlotte, NC 28277-1535 United States Phone: (704) 815-3341 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NC | 0602553 | — |
| Other (non-Medicare) | — | 3458230 | NCPDP |
| MEDICAID | SC | 712203 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
| Yes | 333600000X – Pharmacy | NC | 10889 |
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About NPI 1114229846
Walgreen Co is an organization registered in the CMS NPPES NPI Registry with NPI number 1114229846. The primary specialty listed is Pharmacy. The organization is located in Charlotte, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-12-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114229846?
NPI 1114229846 belongs to Walgreen Co, a Pharmacy in Charlotte, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114229846 active?
The current status of NPI 1114229846 in the NPPES registry is Active. The record was last updated on 2026-01-12.
What specialty is NPI 1114229846?
NPI 1114229846 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 1114229846?
You can verify NPI 1114229846 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 1114229846?
The primary practice address on file for NPI 1114229846 is 11200 Providence Rd W, Charlotte, NC 28277-1535. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114229846 issued?
NPI 1114229846 was first issued (enumerated) on 2010-12-01. The NPPES record was last updated on 2026-01-12.
Practice Location Map
Walgreen Co is located at 11200 Providence Rd W, Charlotte, NC. 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 1114229846. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | 10889 | NC |