OrganizationActiveAccepts Medicare
Walgreen Co
NPI 1902232853 · Pharmacy · Alexander City, AL
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1902232853
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- Walgreens Holding Company
- Organization subpart
- Yes
- Authorized official
- Jennifer Ponce, Manager(847) 527-2489
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
3140 Hwy 280
Alexander City, AL 35010-4414
Phone: (256) 329-8224
Fax: (256) 234-7334
Street-level locationGet directions
Mailing address
1901 E Voorhees St
Danville, IL 61834-4515
Other names (DBA / former)
- Doing business as
- Walgreens #15614
- Doing business as
- Walgreens #15614
Registry dates
- Enumerated
- 2013-09-24
- Last updated
- 2026-06-03
- Certified
- 2026-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.