Walgreen Co
Pharmacy in Petersburg, VA. Organization (NPI-2).
NPI number1477568434
StatusActive
Last updated in NPPESJan 23, 2026
Details
- NPI
- 1477568434
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Jul 29, 2006
- Certification date
- Jan 23, 2026
- Last updated
- Jan 23, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 201004041 | VA | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Walgreens #09270 (Doing Business As)
Practice location
3298 S Crater RdPetersburg, VA 23805-9217
Phone 804-733-6216
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 Petersburg, VA
- Central Virginia Health Service INCNPI 1932691953
- Central Virginia Health ServicesNPI 1467413880
- Hdmc PharmacyNPI 1275511768
- Park Drugs INCNPI 1871508473
- Virginia Cvs Pharmacy LLCNPI 1760586432
All 6 Pharmacy providers in Petersburg · All 1,143 providers in Petersburg
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.