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WALGREEN CO
NPI 1144576182
Pharmacy in Ellisville, MS

Active since July 27, 2012CLIA 25D2231013 · Waiver
915 HILL ST, ELLISVILLE, MS 39437(601) 477-3573(601) 477-3572 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2025, May 3, 2022, Mar 16, 2017 and 2 more (5 updates tracked since 2016).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1144576182), doing business as Ellisville Drug #15828, Powered By Walgreens, is a healthcare organization registered as a pharmacy in Ellisville, Mississippi and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through July 28, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1144576182
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address915 HILL STEllisville, MS 39437-2419
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Phone(601) 477-3573
Fax(601) 477-3572
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJuly 27, 2012
Last NPPES UpdateSeptember 9, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1144576182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MS · 11555/1.1
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
915 HILL ST, Ellisville, MS 39437
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Other Names 1

Doing Business AsEllisville Drug #15828, Powered By Walgreens

Other Identifiers 2

Medicaid00330711MS
Other2588943MS · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2231013

Walgreens #15828 · Ellisville, MS
Active · expires Jul 28, 2027
CLIA Number25D2231013
Laboratory TypePharmacy
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorStacy T. Thrash
Laboratory Phone(601) 477-3573
Laboratory LocationWalgreens #15828915 Hill St, Ellisville, MS 39437
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

RANDALL LAVELLE CAMP
Pharmacist
915 HILL ST
ELLISVILLE, MS 39437
Jones County (601) 477-3573
WALTON FRANK THERRELL R.PH.
Pharmacist
915 HILL ST
ELLISVILLE, MS 39437
Jones County (601) 477-3573
ELLISVILLE DRUG ACQUISITION CO.
Pharmacy (Community/Retail Pharmacy)
915 HILL ST
ELLISVILLE, MS 39437
Jones County (601) 477-3573
DR. STACY THERRELL THRASH PHARM,D,
Pharmacist
915 HILL ST
ELLISVILLE, MS 39437
Jones County (601) 545-2056
HALEY HAGAN
Pharmacist
915 HILL ST
ELLISVILLE, MS 39437
Jones County (601) 477-3573

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 1144576182. It was assigned to this organization in the NPPES registry on July 27, 2012. The provider is doing business as Ellisville Drug #15828, Powered by Walgreens.

Where is Walgreen Co located?

Walgreen Co is located at 915 Hill St, Ellisville, MS 39437. The listed phone number is (601) 477-3573.

What is Walgreen Co's specialty?

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

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2231013) is associated with this NPI, valid through July 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walgreen Co accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 44 other insurers 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 September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.