{"npi":"1306369178","type":"NPI-2","status":"active","name":{"display":"Walgreen Co","other":[],"organization_name":"WALGREEN CO","authorised_official":"Jennifer Ponce"},"specialty":{"primary_taxonomy":"333600000X","primary_taxonomy_description":"Pharmacy","slug":"pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":true,"state":"VA","license":"0201002585"}]},"addresses":[{"purpose":"LOCATION","street_1":"4053 LANKFORD HWY","city":"EXMORE","state":"VA","postal_code":"233502643","country_code":"US","phone":"7574428542","fax":"7574423448"},{"purpose":"MAILING","street_1":"1901 E VOORHEES ST","city":"DANVILLE","state":"IL","postal_code":"618344509","country_code":"US","street_2":"MS 790","phone":"8475272489","fax":"2177092344"}],"license":{"state":"VA","number":"0201002585"},"identifiers":[{"type_code":"01","label":"Other","value":"4848721","state":"VA","issuer":"NCPDP"},{"type_code":"05","label":"Medicaid","value":"1306369178","state":"VA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20180209001417","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"VA","pac_id":"0941278253"}]},"enumeration_date":"2017-07-24","last_updated":"2025-02-12","_meta":{"source":"NPPES","snapshot_date":"2025-02-12","doc_url":"https://findmynpi.com/api"}}