OrganizationActive
Walgreen Co.
NPI 1508092040 · Pharmacy · Pineville, KY
Provider details
- NPI number
- 1508092040
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- Walgreen Co.
- Organization subpart
- Yes
- Authorized official
- Kermit Crawford, Senior Vice President(847) 914-3154
Specialties & taxonomies
Suppliers
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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.
Practice location
528 W Tennessee Ave.
Pineville, KY 40977
Phone: (865) 769-1790
Street-level locationGet directions
Mailing address
1901 E Voorhees St
Danville, IL 61834-4509
Other names (DBA / former)
- Doing business as
- Walgreens #13034
Registry dates
- Enumerated
- 2009-06-10
- Last updated
- 2009-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.