Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Walgreen Co

Organization Durable Medical Equipment & Medical Supplies · NPI 1689689705

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
3

Practice location Address checks out

1713 W Springfield Ave
Champaign, IL 61821-3011
Phone: (217) 356-2529
Fax: (217) 356-1423
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 54004035 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1689689705
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #04409; Walgreens #04409
NPI enumeratedJuly 29, 2006
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4515

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