Walgreen Co
Pharmacy in Fort Madison, IA. Organization (NPI-2).
NPI number1760620918
StatusActive
Last updated in NPPESOct 12, 2026
Details
- NPI
- 1760620918
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Jan 27, 2009
- Certification date
- Oct 12, 2026
- Last updated
- Oct 12, 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 | 1357 | IA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #11759 (Doing Business As)
Practice location
2639 Avenue LFort Madison, IA 52627-3840
Phone 319-372-8794 · Fax 319-372-8905
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
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