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WALGREEN LOUISIANA CO INC
NPI 1205841467
Pharmacy in Thibodaux, LA

Active since July 29, 2006
195 N CANAL BLVD, THIBODAUX, LA 70301(985) 447-2456 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walgreen Louisiana Co Inc NPPES

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

WALGREEN LOUISIANA CO INC (NPI 1205841467), doing business as Walgreens #04140, is a healthcare organization registered as a pharmacy in Thibodaux, Louisiana and active in the NPI registry since July 2006. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1205841467
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN LOUISIANA CO INC
Location Address195 N CANAL BLVDThibodaux, LA 70301-2995
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Phone(985) 447-2456
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJuly 29, 2006
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1205841467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in LA · 3590RC
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
195 N CANAL BLVD, Thibodaux, LA 70301
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Other Names 1

Doing Business AsWalgreens #04140

Other Identifiers 2

Other1927447Other Id Number-commercial Number
Medicaid1264628LA

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 ›

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
124 services124 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
69 services69 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
50 services50 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #4140 carries, from the Medicare DMEPOS supplier directory.

Walgreens #4140

DMEPOS supplier · Thibodaux, LAOperated by Walgreen Louisiana Co Inc
✔

Accepts Medicare assignment

Walgreens #4140 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20336291
Medicare Participant SinceJanuary 1, 2023
Supplier Location195 N Canal BlvdThibodaux, LA 70301
Phone(985) 447-2456
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 10

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

MS. AMIE L DOVER
Pharmacist
195 N CANAL BLVD
THIBODAUX, LA 70301
Lafourche Parish (985) 446-2456
TANIA TROSCLAIR PORTIER RPH
Pharmacist
195 N CANAL BLVD
THIBODAUX, LA 70301
Lafourche Parish (985) 447-2456
LANNY JOSEPH RICHARD RPH
Pharmacist
195 N CANAL BLVD
THIBODAUX, LA 70301
Lafourche Parish (985) 447-2456
ERIN LARPENTER
Pharmacist
195 N CANAL BLVD
THIBODAUX, LA 70301
Lafourche Parish (985) 447-2456
TRUONG TONY DO
Pharmacist
195 N CANAL BLVD
THIBODAUX, LA 70301
Lafourche Parish (985) 447-2456
CHESERE LYNNE CANCIENNE PHARMD.
Pharmacist
195 N CANAL BLVD
THIBODAUX, LA 70301
Lafourche Parish (854) 472-4569
MR. GLEN GIAMBRONE RPH
Pharmacist
195 N CANAL BLVD
THIBODAUX, LA 70301
Lafourche Parish (985) 447-2456
EDCHARRA G CAGE PST
Pharmacist
195 N CANAL BLVD
THIBODAUX, LA 70301
Lafourche Parish (985) 447-2456

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 Louisiana Co Inc's NPI number?

The NPI number for Walgreen Louisiana Co Inc is 1205841467. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #04140.

Where is Walgreen Louisiana Co Inc located?

Walgreen Louisiana Co Inc is located at 195 N Canal Blvd, Thibodaux, LA 70301. The listed phone number is (985) 447-2456.

What is Walgreen Louisiana Co Inc's specialty?

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

Does Walgreen Louisiana Co Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #4140 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Walgreen Louisiana Co Inc 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 Louisiana Co Inc 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 Louisiana Co Inc was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.