Walgreen Co
Pharmacy in Port St Lucie, FL. Organization (NPI-2).
NPI number1245247238
StatusActive
Last updated in NPPESSep 3, 2026
Details
- NPI
- 1245247238
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Aug 2, 2006
- Certification date
- Sep 3, 2026
- Last updated
- Sep 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | PH0010185 | FL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #12302 (Doing Business As)
Practice location
9000 S Us Highway 1Port St Lucie, FL 34952-3408
Phone 772-337-0112 · Fax 772-337-9580
Mailing address
1901 E Voorhees StMs 790
Danville, IL 61834-4515
Phone 847-527-2489 · Fax 217-709-2344
Authorized official
Jennifer Ponce
Manager
8475272489
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pharmacy providers in Port St Lucie, FL
- Holiday Cvs LLCNPI 1225132103
- Holiday Cvs LLCNPI 1447467352
- Liberty Home Pharmacy CorporationNPI 1730170663
- Mahant Pharmacy INCNPI 1063257749
- Solantic Of South Fl LLCNPI 1780908285
- Wal-Mart Stores East LPNPI 1861859456
- Walgreen CoNPI 1255570404
- Walgreen CoNPI 1376558411
- Walgreen CoNPI 1639184880
- Walgreen CoNPI 1720093958
All 13 Pharmacy providers in Port St Lucie · All 3,747 providers in Port St Lucie
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.