Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WALGREEN CO
NPI 1609179860
Pharmacy in Bridgeport, WV

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1609179860. It was assigned to this organization in the NPPES registry on December 9, 2010. The provider is doing business as Walgreens #12276.

Q: What is Walgreen Co's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on September 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.

Active since December 09, 2010

1240 W MAIN ST, BRIDGEPORT, WV 26330(304) 842-0647(304) 842-0658 Get Directions Write a Review

NPPES record last updated: September 5, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 5, 2026, Aug 28, 2026, Feb 15, 2022 and 2 more (5 updates tracked since 2016).

On this page

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1609179860), doing business as Walgreens #12276, is a healthcare organization registered as a pharmacy in Bridgeport, West Virginia and active in the NPI registry since December 2010. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1609179860

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address1240 W MAIN STBridgeport, WV 26330-1657

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344

Phone(304) 842-0647

Fax(304) 842-0658

Organization SubpartYesParent: Walgreens Holding Company

Authorized OfficialJennifer PonceManager · (847) 527-2489

Enumeration DateDecember 9, 2010

Last NPPES UpdateSeptember 5, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2026

✔ NPI 1609179860 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

1240 W MAIN ST, Bridgeport, WV 26330

Open in Google Maps ↗

Other Names 1

Doing Business AsWalgreens #12276

Other Identifiers 2

Medicaid3810019520WV

Other5055391Ncpdp

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 ›

Other Providers at the Same Location NPPES 8

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

WALGREEN CO.

Clinical Medical Laboratory