WALGREEN CO.

NPPES National Provider RegistryBROOKLYNFormed 3 years ago

WALGREEN CO. is an active Federal business entity, first registered with NPPES National Provider Registry on December 27, 2022. An active professional license is on file with DBPR (FL). No federal exclusion record was found as of the last data import.

In business since

2022

Registered Dec 27, 2022

Legal status

Not available

NPPES National Provider Registry

State license

Active

DBPR (FL)

Federal ban list

Not listed

SAM.gov exclusions

Business registration

Official state record on file with Federal

Legal business name: WALGREEN CO.
State: Federal
Formed: December 27, 2022 — Formed 3 years ago
Filing number: 1689387466
Federal UEI: 1689387466SAM.gov →
Location: BROOKLYN 112172008

Officers & Directors

People listed on official state filings for this business.

Jennifer PonceManager

Source: NPPES National Provider Registry bulk filing data · Observed 2026 · Officer lists are not available on the Federal SOS online portal — sourced from official state filing extracts.

State professional licenses

Issued by the state licensing authority

License #	Type	Status	Board	Issued	Expires
FRO4845	FRO	ACTIVE	DBPR (FL)Dept. of Business & Professional Regulation — FloridaVerify ↗	Apr 18, 2011	—
1680000149	PDO	ACTIVE	DORA (CO)Dept. of Regulatory Agencies — ColoradoVerify ↗	Jul 26, 2017	Oct 31, 2026
1680000135	PDO	ACTIVE	DORA (CO)Dept. of Regulatory Agencies — ColoradoVerify ↗	Mar 24, 2017	Oct 31, 2026
1680000154	PDO	EXPIRED	DORA (CO)Dept. of Regulatory Agencies — ColoradoVerify ↗	Aug 25, 2017	Apr 21, 2026
370000045	PDO	ACTIVE	DORA (CO)Dept. of Regulatory Agencies — ColoradoVerify ↗	Jan 27, 1994	Oct 31, 2026

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Where this information comes from

Data source: NPPES National Provider Registry
Data observed: Imported 2026
RecordGraph record ID: 72544152
Coverage: Federal — complete

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