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WALGREEN CO
NPI 1104831361
Pharmacy in Jackson, MS

Active since July 29, 2006
3445 TERRY RD, JACKSON, MS 39212(601) 372-8750 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2019, Mar 16, 2017 (2 updates tracked since 2017).

About Walgreen Co NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALGREEN CO (NPI 1104831361), doing business as Walgreens #04191, is a healthcare organization registered as a pharmacy in Jackson, Mississippi and active in the NPI registry since July 2006. The organization lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1104831361
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3445 TERRY RDJackson, MS 39212-4956
Mailing Address1901 E Voorhees St, M/s 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(601) 372-8750
Organization SubpartYesParent: Walgreens Boots Alliance Inc.
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateJuly 29, 2006
Last NPPES UpdateFebruary 11, 20192 updates tracked since enumeration
✔ NPI 1104831361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MS · 0410401WJ
Definition
A 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 dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
3445 TERRY RD, Jackson, MS 39212
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Other Names 1

Former Legal Business NameWalgreens #04191

Other Identifiers 2

Other2519176Other Id Number-commercial Number
Medicaid00330387MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMBER DIONE WILBANKS PHARMD
Pharmacist
3445 TERRY RD
JACKSON, MS 39212
Hinds County (601) 992-8408
TIAWANA WARE ALEXANDER PHARM.D.
Pharmacist (Pharmacotherapy)
3445 TERRY RD
JACKSON, MS 39212
Hinds County (601) 372-8750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1104831361. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider was formerly known as Walgreens #04191.

Where is Walgreen Co located?

Walgreen Co is located at 3445 Terry Rd, Jackson, MS 39212. The listed phone number is (601) 372-8750.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Walgreen Co accept?

Health plans from Medica list Walgreen Co as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.