NPI 1497760573 · live from the CMS NPI Registry
Walgreen Co
Pharmacy in Gillette, WY. National Provider Identifier 1497760573, active.
NPI record
| NPI | 1497760573 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 2000 S Douglas Hwy, Gillette, WY 82718 |
| Practice phone | 307-682-4517 |
| Mailing address | 1901 E Voorhees St # 790, Danville, IL 61834 |
| Enumerated | July 29, 2006 |
| Last updated | August 27, 2026 |
| Authorized official | Jennifer Ponce, Manager |
| Other names | Walgreens #07928 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy primary | 333600000X | 5282718 (WY) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.