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Walgreen Co

Pharmacy in Middleton, WI. Organization (NPI-2).

NPI number1801934260
StatusActive
Last updated in NPPESNov 24, 2025

Details

NPI
1801934260
Entity type
Organization (NPI-2)
Legal business name
Walgreen Co
Organization subpart
Yes
Enumeration date
Feb 1, 2007
Certification date
Nov 24, 2025
Last updated
Nov 24, 2025

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 codeDescriptionLicenseStatePrimary
333600000X Pharmacy8672-042WIYes
3336C0003X Pharmacy, Community/Retail Pharmacy––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Walgreens #10555 (Doing Business As)

Practice location

2010 Branch St
Middleton, WI 53562-3026

Phone 608-831-6548 · Fax 608-831-4995

Mailing address

1901 E Voorhees St
Ms 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 Middleton, WI

All 7 Pharmacy providers in Middleton · All 808 providers in Middleton

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