What is Walgreen Co's NPI number?

Walgreen Co's National Provider Identifier (NPI) is 1104166479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Walgreen Co?

Walgreen Co is classified in the NPPES registry as Pharmacy (Suppliers).

Where is Walgreen Co located?

Walgreen Co's practice location on file with NPPES is 12051 Old Glenn Hwy, Eagle River, AK 99577-7736.

What is Walgreen Co's phone number?

The practice phone number listed in the NPPES registry for Walgreen Co is (907) 696-4000.

Does Walgreen Co accept Medicare?

Walgreen Co is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Who is the authorized official for Walgreen Co?

The authorized official listed on Walgreen Co's NPPES record is Jennifer Ponce, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Walgreen Co's NPI active?

Yes — Walgreen Co's NPI (1104166479) is active in the NPPES registry as of the last update on 2025-03-28.

OrganizationActiveAccepts Medicare

Walgreen Co

NPI 1104166479 · Pharmacy · Eagle River, AK

Walgreen Co is a Pharmacy organization in Eagle River, AK (NPI 1104166479).

Provider details

NPI number: 1104166479
Entity type: Organization
Primary specialty: PharmacySuppliers
Parent organization: Walgreens Boots Alliance Inc
Organization subpart: Yes
Authorized official: Jennifer Ponce, Manager(847) 527-2489

Practice location

12051 Old Glenn Hwy

Eagle River, AK 99577-7736

Phone: (907) 696-4000

Fax: (907) 696-4001

Street-level locationGet directions

More AK providers

Mailing address

1901 E Voorhees St

Danville, IL 61834-4509

Specialties & taxonomies

PharmacyPrimary333600000XLicense 485 (AK)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Other names (DBA / former)

Doing business as: Walgreens #15362
Doing business as: Walgreens #15362

Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(79/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
13 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2013-02-25
Last updated: 2025-03-28
Certified: 2025-03-28

Frequently asked questions

What is Walgreen Co's NPI number?: Walgreen Co's National Provider Identifier (NPI) is 1104166479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Walgreen Co?: Walgreen Co is classified in the NPPES registry as Pharmacy (Suppliers).
Where is Walgreen Co located?: Walgreen Co's practice location on file with NPPES is 12051 Old Glenn Hwy, Eagle River, AK 99577-7736.
What is Walgreen Co's phone number?: The practice phone number listed in the NPPES registry for Walgreen Co is (907) 696-4000.
Does Walgreen Co accept Medicare?: Walgreen Co is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Who is the authorized official for Walgreen Co?: The authorized official listed on Walgreen Co's NPPES record is Jennifer Ponce, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Walgreen Co's NPI active?: Yes — Walgreen Co's NPI (1104166479) is active in the NPPES registry as of the last update on 2025-03-28.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions