Walgreen Co · Pharmacy

2040 Lafayette Ave, Terre Haute, IN 47805-2920

Overview

Walgreen Co is a Pharmacy (organization) practicing in Terre Haute, Indiana. The National Provider Identifier (NPI) is #1326053471, which was assigned on July 29, 2006, and the registration record was last updated on October 20, 2025. The practitioner's main practice location is at 2040 Lafayette Ave, Terre Haute, IN 47805-2920; the contact telephone number is 8124667536, and the fax number is 8124667854. The primary taxonomy of Walgreen Co is Pharmacy (333600000X). The authorized official for Walgreen Co is Jennifer Ponce (Manager). Walgreen Co is licensed to practice in the state of Indiana (#60005908A).

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Provider Information

NPI 1326053471
Entity Type Organization
Organization Name WALGREEN CO
Provider Name WALGREEN CO
Practice Address 2040 Lafayette Ave
Terre Haute
IN 47805-2920
Practice Telephone 8124667536
Practice Fax Number 8124667854
Mailing Address 1901 E Voorhees St
Ms #790
Danville
IL 61834-4515
Mailing Telephone 8475272489
Mailing Fax Number 2177092344
Certification Date 2025-10-20
Enumeration Date 2006-07-29
Last Update Date 2025-10-20
Is Organization Subpart Y
Parent Organization Legal Business Name WALGREENS BOOTS ALLIANCE INC

Authorized Official Information

Official Name JENNIFER PONCE
Official Title MANAGER
Telephone 8475272489

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N3336C0003XPharmacyCommunity/Retail Pharmacy
N332B00000XDurable Medical Equipment & Medical Supplies
Y333600000XPharmacy60005908AIN

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
1560300OTHER ID NUMBER-COMMERCIAL NUMBEROther
200540790AINMEDICAID
200539600A DMEINMEDICAID

Other Provider Names

Other Organization NameType
WALGREENS #09711Doing Business As Name

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Walgreen Co 4750 S Val Vista Dr, Gilbert, AZ 85297-7362Community/Retail Pharmacy2024-10-08
Walgreen Co 14400 Narcoosee Rd, Orlando, FL 32827Durable Medical Equipment & Medical Supplies2025-02-12
Walgreen Co 7270 University Pkwy, Sarasota, FL 34240Community/Retail Pharmacy2025-02-12
Walgreen Co 1420 East 6th St, Weiser, ID 83672Community/Retail Pharmacy2021-10-21
Walgreen Co 95 S Waukegan Rd Ste A, Deerfield, IL 60015-5204Community/Retail Pharmacy2022-05-19
Walgreen Co G1 Ave Laurel, Bayamon, PR 00956-4723Durable Medical Equipment & Medical Supplies2022-06-06
Walgreen Co 3121 N Eastman Rd Ste B, Longview, TX 75605-5071Durable Medical Equipment & Medical Supplies2025-08-27
Walgreen Co 951 Mercer St, Seattle, WA 98109-4351Community/Retail Pharmacy2024-03-13
Walgreen Co 1397 Monmouth Independence Hwy, Monmouth, OR 97361-1961Community/Retail Pharmacy2021-10-21
Walgreen Co 51396 Highway 97, La Pine, OR 97739Community/Retail Pharmacy2021-10-21
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Taxonomy Information

Primary Taxonomy

Code 333600000X
Taxonomy Pharmacy
Classification Pharmacy
Grouping Suppliers
Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition]

Other Taxonomy

Code 3336C0003X
Taxonomy Community/Retail Pharmacy
Classification Pharmacy
Specialization Community/Retail Pharmacy
Grouping Suppliers
Definition: 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.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Other Taxonomy

Code 332B00000X
Taxonomy Durable Medical Equipment & Medical Supplies
Classification Durable Medical Equipment & Medical Supplies
Grouping Suppliers
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Msrn Drugs, Inc 6305 39th Ave, Woodside, NY 11377-2858Pharmacy2026-03-30
Corecomp Rx LLC 390 Lincoln Ave Ste B3, Hatboro, PA 19040-2243Pharmacy2026-03-31
2196 Flatbush Pharmacy Inc. 2196 Flatbush Ave, Brooklyn, NY 11234-4326Pharmacy2026-03-30
National Drug Wholesale LLC 3233 De La Cruz Blvd Ste E, Santa Clara, CA 95054-2604Pharmacy2026-03-28
Legbex Pharmacy, LLC 1142 Athens Hwy Ste 105, Grayson, GA 30017-1762Pharmacy2026-03-27
High Country Community Health Pharmacy At Watauga Boone Medical 935 State Farm Rd, Boone, NC 28607-4948Pharmacy2026-04-01
Mercy Pharmacy Services, LLC 12348 Old Tesson Rd Ste 100, Saint Louis, MO 63128-2251Pharmacy2026-04-02
Glombowski LLC 3944 S Straits Hwy, Indian River, MI 49749-5135Pharmacy2026-04-06
We Care Rx 1 Inc 3671 Crescent Ct E, Whitehall, PA 18052-3400Pharmacy2026-03-30
Zenith Elixium Inc 8620 Griffin Rd, Cooper City, FL 33328-3719Pharmacy2026-04-07
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Location Information

Street Address 2040 LAFAYETTE AVE
City TERRE HAUTE
State IN
Zip Code 47805-2920
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Faith Heather Rose Streacker 2040 Lafayette Ave, Terre Haute, IN 47805-2920Pharmacy Technician2025-07-30

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Laura Leigh Doll 4625 E Devonald Ave, Terre Haute, IN 47805-9470Nurse Practitioner2026-01-21
Casey Anderson 4053 Carriage Ln, Terre Haute, IN 47805-8625Certified Registered Nurse Anesthetist2026-01-23
Rebecca Muthig 8711 Greencastle Rd, Terre Haute, IN 47805-9674Mental Health Counselor2025-07-22

Providers in the same city

Provider NameAddressTaxonomyEnumeration Date
Fonda Renee Board Asbury 620 8th Ave, Terre Haute, IN 47804-2771Clinical Social Worker2026-03-24
Khristopher Moore 185 Hospital Ln, Terre Haute, IN 47802-4247Addiction (Substance Use Disorder) Counselor2025-12-26
Emerge Psychological Services LLC 117 N 3rd St, Terre Haute, IN 47807Clinical Psychologist2026-03-23
Caitlin Martin 615 Cherry St Apt 200, Terre Haute, IN 47807-3127Clinical Psychologist2026-03-18
Forward By Highland 1634 N 3rd St, Terre Haute, IN 47804-4045Addiction (Substance Use Disorder) Counselor2026-02-04
Kaitlyn Marie Rawls 730 S 6th St, Terre Haute, IN 47807-4710Behavior Technician2026-03-23
Kaytie Sebastian · Kaytie Trueblood 13156 S Morgan Pl, Terre Haute, IN 47802-9470Clinical Social Worker2026-02-10
Dale Robert Smeltzer 823 Ohio St, Terre Haute, IN 47807-3719Social Worker2026-01-23
Alexicia Moore 1320 Walnut St, Terre Haute, IN 47807-3931Behavior Technician2026-03-24
Sierra Mcdaniel 1341 Ohio St, Terre Haute, IN 47807-3940Behavior Technician2026-04-07
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Walgreen Co. 1498 White Mountain Hwy, North Conway, NH 03860-5183Community/Retail Pharmacy2008-05-14
Walgreen Co. 12475 Northlake Blvd, West Palm Beach, FL 33412-2761Community/Retail Pharmacy2025-10-30
Walgreen Co. 604 Pacific St, Brooklyn, NY 11217-2008Community/Retail Pharmacy2022-12-27
Walgreen Co. 1901 E Voorhees St # Ms 790, Danville, IL 61834-4509Durable Medical Equipment & Medical Supplies2022-07-27
Walgreen Eastern Co Inc 478 Route 1, Yarmouth, ME 04096-6735Community/Retail Pharmacy2017-08-10
Walgreen Co. 1329 George Dieter Dr, El Paso, TX 79936-7410Community/Retail Pharmacy2008-05-29
Walgreen Co. 430 Broadway, Revere, MA 02151-3058Community/Retail Pharmacy2006-07-29
Walgreen Co. 1562 Washington St, Ste 100rx, Pella, IA 50219-7580Community/Retail Pharmacy2025-10-30
Walgreen Co. 3100 Thomas St., Memphis, TN 38127Pharmacy2006-09-20
Walgreen Co. 1000 S Acadia Rd, Thibodaux, LA 70301-5076Community/Retail Pharmacy2009-07-20

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.