WALGREEN CO NPI 1790868107

NPI Information

  • NPI: 1790868107
  • Provider Name: WALGREEN CO
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • CLIA Number: 04D2063281
  • Address: 701 W GROVE ST
    EL DORADO, AR
    ZIP 71730
  • Phone: (870) 881-8434

Map and Directions

Get Directions

NPI Details

WALGREEN CO is a community/retail pharmacy pharmacy in El Dorado, AR. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. WALGREEN CO NPI is 1790868107. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

701 W GROVE ST
EL DORADO, AR
ZIP 71730-415
Phone: (870) 881-8434
Fax: (870) 881-8448

The provider's authorized official is Jennifer Ponce .
The authorized official title is Manager and has the following contact phone number (847) 527-2489.

The CLIA number assigned to this NPI record is 04D2063281 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 6/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesAR20056ARKANSASNo
2333600000XPharmacyAR20056ARKANSASNo
33336L0003XPharmacyLong Term Care PharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10418942OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2135604716OTHERARKANSASMEDICAID DME
3P00335262OTHERARKANSASMEDICARE RAILROAD FLU
4133285407MEDICAIDARKANSAS
510615OTHERARKANSASMEDICARE FLU

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.

Previous NPI
Next NPI