{"npi":"1760498331","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":"CA","license":"PHY44937"}]},"addresses":[{"purpose":"LOCATION","street_1":"3500 COFFEE RD","city":"MODESTO","state":"CA","postal_code":"953551305","country_code":"US","phone":"2093410814","fax":"2093410849"},{"purpose":"MAILING","street_1":"1901 E VOORHEES ST","city":"DANVILLE","state":"IL","postal_code":"618344515","country_code":"US","street_2":"MS 790","phone":"8475272489","fax":"2177092344"}],"license":{"state":"CA","number":"PHY44937"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1760498331","state":"CA","issuer":null},{"type_code":"01","label":"Other","value":"0557489","state":null,"issuer":"OTHER ID NUMBER-COMMERCIAL NUMBER"},{"type_code":"05","label":"Medicaid","value":"PHA449370","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930013366","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"CA","pac_id":"0941278253"}]},"enumeration_date":"2006-08-01","last_updated":"2026-05-13","_meta":{"source":"NPPES","snapshot_date":"2026-05-13","doc_url":"https://findmynpi.com/api"}}