WALGREEN CO NPI 1578578787

NPI Record

The following NPI record includes the field values provided by the NPPES as well as the field definition as published in the Federal Register. The complete NPI record is also available for download in text, csv and xml formats.

Field Name Field Value Definition 1
NPI 1578578787 The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Entity Type Code 2 This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Employer Identification Number EIN Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name Legal Business Name WALGREEN CO The last name of the provider. If the provider is an individual, this is the legal name.
Provider Other Organization Name The first name of the provider, if the provider is an individual.
Provider Other Organization Name Type Code 6 The country code in the location address of the provider being identified.
Provider First Line Business Practice Location Address 1802 W MORTON AVE The country code in the location address of the provider being identified.
Provider Business Practice Location Address City Name JACKSONVILLE The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name IL The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Provider Business Practice Location Address Postal Code 626502619 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Provider Business Practice Location Address Country Code If outside U S US The last name of the provider. If the provider is an individual, this is the legal name.
Provider Business Practice Location Address Telephone Number 2174790693 The city name in the location address of the provider being identified.
Provider Enumeration Date 7/29/2006 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Last Update Date 9/9/2025 The country code in the location address of the provider being identified.
Authorized Official Last Name PONCE The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Authorized Official First Name JENNIFER The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Authorized Official Title or Position MANAGER The State code in the location of the provider being identified.
Authorized Official Telephone Number 8475272489 The last name of the provider. If the provider is an individual, this is the legal name.
Healthcare Provider Taxonomy Code 1 3336C0003X Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Healthcare Provider Primary Taxonomy Switch 1 N The country code in the location address of the provider being identified.
Healthcare Provider Taxonomy Code 2 332B00000X The first name of the provider, if the provider is an individual.
Healthcare Provider Primary Taxonomy Switch 2 N The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Healthcare Provider Taxonomy Code 3 333600000X The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Provider License Number 3 054.019190 The country code in the location address of the provider being identified.
Provider License Number State Code 3 IL The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 3 Y The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Other Provider Identifier 1 1477721 The name of the organization provider. If the provider is an organization, this is the legal business name.
Other Provider Identifier Type Code 1 01 The city name in the location address of the provider being identified.
Other Provider Identifier Issuer 1 OTHER ID NUMBER-COMMERCIAL NUMBER The first name of the provider, if the provider is an individual.
Is Organization Subpart Y The date on which the National Provider Identifier (NPI) was officially assigned and certified to the provider. This reflects when the provider's NPI record first became active in the NPPES system.
Parent Organization LBN WALGREENS BOOTS ALLIANCE INC The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Parent Organization TIN The date the provider was assigned a unique identifier (assigned an NPI).
NPI Certification Date 9/9/2025 The city name in the location address of the provider being identified.

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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