NPI age
15 years
Enumerated 2010-10-04
● Active Type 2 · Organization
Subpart
Walgreen Co
Walgreen Co is 1 of 961 pharmacy organizations in Georgia.
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
2025-10-21
Source: monthly bulk 2026-05
How this organization compares
Across 961 active pharmacy providers in Georgia.
NPI age
15 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
3
In the 80% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-10Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
2177 Briarcliff Rd Ne
Atlanta, GA 303293449
Mailing address
1901 E Voorhees St, MS 790
Danville, IL 618344509
Authorized official
Jennifer Ponce
Manager
📞 8475272489
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Beverley Segel, L.M.T. Mechanotherapist NPI 1750560306
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...
-
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 that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
-
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 |
|---|---|---|
| 01 | 1160388 | NCPDP |
| 05 (GA) | 003103974A |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Walgreens Specialty Pharmacy #21613
-
Walgreens Specialty Pharmacy #13873
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Walgreens Boots Alliance Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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