WALGREEN CO
NPI 1477993236
Pharmacy in Madison, MS

Active since June 26, 2013CLIA 25D2078600 · Waiver
1606 HIGHLAND COLONY PKWY, MADISON, MS 39110(601) 605-5928(601) 605-2484 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 29, 2026, Apr 27, 2022, Mar 16, 2017 and 1 more (4 updates tracked since 2016).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1477993236), doing business as Walgreens #15250, is a healthcare organization registered as a pharmacy in Madison, Mississippi and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1477993236
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1606 HIGHLAND COLONY PKWYMadison, MS 39110-6917
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Fax(601) 605-2484
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJune 26, 2013
Last NPPES UpdateMay 29, 20264 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1477993236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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
1606 HIGHLAND COLONY PKWY, Madison, MS 39110

Other Names 1

Doing Business AsWalgreens #15250

Other Identifiers 2

Medicaid04272346MS
Other2589197MS · Ncpdp

Accepted 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 25D2078600

Walgreens #15250 · Madison, MS
Active · expires Dec 15, 2026
CLIA Number25D2078600
Laboratory TypePharmacy
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorMark Pearson
Laboratory Phone(601) 605-5928
Laboratory LocationWalgreens #152501606 Highland Colony Pkwy, Madison, MS 39110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20383529
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Other Providers at the Same Location NPPES 7

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

Pharmacist
1606 HIGHLAND COLONY PKWY
MADISON, MS 39110
Pharmacist
1606 HIGHLAND COLONY PKWY
MADISON, MS 39110
Pharmacist
1606 HIGHLAND COLONY PKWY
MADISON, MS 39110
Pharmacist
1606 HIGHLAND COLONY PKWY
MADISON, MS 39110
Pharmacist
1606 HIGHLAND COLONY PKWY
MADISON, MS 39110
Pharmacist
1606 HIGHLAND COLONY PKWY
MADISON, MS 39110
Pharmacist
1606 HIGHLAND COLONY PKWY
MADISON, MS 39110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477993236, enumerated as an "organization" on June 26, 2013.

The provider is located at 1606 HIGHLAND COLONY PKWY MADISON, MS 39110 and the phone number is (601) 605-5928.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.