WALGREEN CO (NPI# 1003332131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003332131 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17161 |
| Practice Address |
11910 Liberty Ave South Richmond Hill NY 11419-2002 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7188357659 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2019-08-15 |
| Authorized Official Name | ALYSSA SWEETEN (MANAGER) |
| Authorized Official Telephone | 2177092386 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALGREENS BOOTS ALLIANCE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 036336 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NCPDP | 5824049 | 01 |
| NY | 05043678 | 05 |
| Other Name | Type Code |
|---|---|
| Rite Aid #900 | Doing Business As Name - Organization |
| Walgreens #17161 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459615 | Walgreen Co | Pharmacy | 23335 Soboba Rd, San Jacinto, CA 92583 | 2020-08-26 |
| 1548873284 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 909 Veterans Blvd, Del Rio, TX 78840-4065 | 2020-08-24 |
| 1013527092 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 433 W Van Buren St Ste 150, Chicago, IL 60607-0433 | 2020-08-05 |
| 1801419650 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1301 N Main St Ste 100rx, Blacksburg, VA 24060-3129 | 2020-05-27 |
| 1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
| 1861021495 | Walgreen Co | Pharmacy | 1870 W Rio Salado Pkwy Ste 100rx, Tempe, AZ 85281-2695 | 2020-04-06 |
| 1154960722 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 41840 W Maricopa- Casa Grande Hwy, Maricopa, AZ 85138 | 2019-12-31 |
| 1932746047 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 300 W Broughton St, Savannah, GA 31401-3216 | 2019-12-09 |
| 1053955377 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1530 Celebration Blvd Ste 100rx, Kissimmee, FL 34747-5164 | 2019-10-30 |
| 1528600269 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 212a Moore Rd, King, NC 27021-8703 | 2019-10-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | WALGREEN CO. | 161 Washington Street, Suite 1400, Conshohocken, PA 19428 |
| Iowa Business Entities | WALGREEN CO. | 300 Wilmot Road, Deerfield, IL 60015 |
| Virginia Business Entities | WALGREEN CO. | 161 Washington St Ste 1400, Conshohocken, Pennsylvania 19428-2055 |
| Washington State Corporations | WALGREEN CO. | 300 Wilmot Rd, Deerfield, IL 60015-4614 |
| North Carolina Corporations | Walgreen Co. | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Oregon Corporations, Companies and Business Names | WALGREEN CO. | 300 Wilmot Road, Deerfield, IL 60015 |
| New York State Corporations | WALGREEN CO. | 80 State Street, Albany, New York 12207-2543 |
| Oklahoma Business Registrations | WALGREEN CO. | Attention Tax Department, 200 Wilmot Road, Deerfield, IL 60015 |
| Street Address |
11910 LIBERTY AVE |
| City | SOUTH RICHMOND HILL |
| State | NY |
| Zip Code | 11419-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447369830 | Rite Aid Drug Palace Inc | Pharmacy | 11910 Liberty Ave, South Richmond Hill, NY 11419-2002 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218081 | Ny Metro Dental, PC | Dentist | 119-01 Liberty Avenue, Richmond Hill, NY 11419 | 2020-02-25 |
| 1811558646 | Sarah Lindsay Davison | Speech-Language Pathologist | Cuomo First Step Preschool, 115-15 101st Avenue, South Richmond Hill, NY 11419 | 2019-06-24 |
| 1629569983 | Village Star Drugs Inc | Pharmacy | 125-05 Liberty Avenue, S. Richmond Hill, NY 11419 | 2018-05-22 |
| 1023535994 | Sonali Sheth | Pharmacist | Sure Drugs Pharmacy, 118-06 101st Ave., South Richmond, NY 11419 | 2017-08-23 |
| 1518408491 | Therapy Care Pta P.C. | Clinic/Center | 10130 116th St, South Richmond Hill, NY 11419 | 2017-03-13 |
| 1285173526 | Theresa Home Care Agency Inc | Home Health | 110-08 Liberty Ave, Richmond, NY 11419 | 2017-02-20 |
| 1750820163 | Aisha Khizar | Contractor | 13214 101st Ave, South Richmond Hill, NY 11419 | 2017-02-17 |
| 1417492778 | Bhanmatie Balkaran | Licensed Practical Nurse | 105-16 135th Street, South Richmond Hill, NY 11419 | 2016-12-22 |
| 1225571011 | Nzinga Gillis | Behavioral Analyst | 104-29 129th Street, South Richmond Hill, NY 11419 | 2016-11-28 |
| 1740738236 | Arun Thaker | Clinic/Center | 130-05 101 Street, 1, Jamaica, NY 11419 | 2016-09-14 |
| Find all providers in zip 11419 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184961906 | Our Choice Inc | Pharmacy | 12401 Liberty Ave Ste C, South Richmond Hill, NY 11419-2245 | 2013-01-14 |
| 1093075236 | Liberty Pharmacy Inc. | Pharmacy | 12402a Liberty Ave, South Richmond Hill, NY 11419-2232 | 2012-05-22 |
| 1093075327 | A & J Pharmacy and Surgical Supplies Inc | Pharmacy | 13108 Liberty Ave, South Richmond Hill, NY 11419-3124 | 2012-05-21 |
| 1356478994 | Akasi Pharamcy Inc | Pharmacy | 12401 Liberty Ave, South Richmond Hill, NY 11419-2231 | 2007-02-28 |
| 1689610131 | Uss Rx Inc | Pharmacy | 13407 Liberty Ave, South Richmond Hill, NY 11419-2354 | 2006-06-22 |
| 1760469308 | L. Fernandez Farmacia, Inc | Pharmacy | 12323 Liberty Ave, South Richmond Hill, NY 11419-2115 | 2005-12-25 |
| 1346771680 | Family Care Specialty Pharmacy Inc | Pharmacy | 12614 101st Ave, South Richmond Hill, NY 11419-1546 | 2017-03-27 |
| 1447369830 | Rite Aid Drug Palace Inc | Pharmacy | 11910 Liberty Ave, South Richmond Hill, NY 11419-2002 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758141 | North Shore Chemists LLC | Pharmacy | 800 Northern Blvd Ste 4, Great Neck, NY 11021-5314 | 2020-10-22 |
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1023625548 | Otc Group LLC | Pharmacy | 2792 Ocean Ave Unit 5, Brooklyn, NY 11229-4730 | 2020-09-29 |
| 1932712817 | Guoyi Lin | Pharmacy | 13351 41st Rd First Floor, Flushing, NY 11355-5837 | 2020-08-28 |
| 1740891001 | Cureatr Inc | Pharmacy | 17 W 20th St Fl 3, New York, NY 10011-3702 | 2020-08-11 |
| 1609486562 | Phils Pill Pharmacy, Inc | Pharmacy | 8387 Woodhaven Blvd, Jamaica, NY 11421-1533 | 2020-08-05 |
| 1679182349 | Marvel Pharmacy Inc | Pharmacy | 9612 Liberty Ave, Ozone Park, NY 11417-1624 | 2020-07-28 |
| 1114545837 | Edgar Murcia | Pharmacy | 7702 Roosevelt Ave Ste C, Jackson Heights, NY 11372-6604 | 2020-07-09 |
| 1811513724 | Link Pharmacy | Pharmacy | 456 Avenue P, Brooklyn, NY 11223-2895 | 2020-06-17 |
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH RICHMOND HILL |
| Zip Code | 11419 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.