NPI age
19 years
Enumerated 2006-07-29
● Active Type 2 · Organization
Subpart
Walgreen Co
Walgreen Co is 1 of 2274 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ponce
Manager
Last NPPES update
2026-02-09
Source: monthly bulk 2026-05
How this organization compares
Across 2274 active pharmacy providers in Texas.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
3
In the 77% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
610 E Villa Maria Rd
Bryan, TX 778025335
Mailing address
1901 E Voorhees St, MS 790
Danville, IL 618344515
Authorized official
Jennifer Ponce
Manager
📞 8475272489
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Christa Burk, PHARMD Pharmacist NPI 1437487378
- Tyrone Davis Pharmacist NPI 1508477787
- Reena Desai Pharmacist NPI 1457966863
- Grantlan Goodale, PHARMD, RPH Pharmacist NPI 1245647478
- Edwardo Scott Pharmacist NPI 1497083232
Specialties
-
Pharmacy PrimaryA 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...
-
Clinical Medical Laboratory(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
-
Durable Medical Equipment & Medical SuppliesA 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.
-
PharmacyA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 469334 | |
| 05 (TX) | 466230 | |
| 01 | 4539156 | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
WALGREENS #09574
-
WALGREENS #09574
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Subpart of Walgreens Boots Alliance Inc.
Provyx · Custom healthcare lists
Need all 2274 Pharmacy providers in Texas?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.