OrganizationActive
Walgreen Co
NPI 1598442881 · Pharmacy · Mabank, TX
Provider details
- NPI number
- 1598442881
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- Walgreens Boots Alliance Inc
- Organization subpart
- Yes
- Authorized official
- Jennifer Ponce, Manager(847) 527-2489
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1200 S 3rd St Ste B
Mabank, TX 75147-7679
Phone: (903) 887-6011
Street-level locationGet directions
Mailing address
1901 E Voorhees St
Danville, IL 61834-4515
Other names (DBA / former)
- Doing business as
- Walgreens #21501
- Doing business as
- Walgreens #21501
Registry dates
- Enumerated
- 2023-06-29
- Last updated
- 2026-01-07
- Certified
- 2026-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.