WALGREEN CO (NPI# 1003821067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003821067 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #10106 |
| Practice Address |
3520 Ellwood Ave Richmond VA 23221-2723 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8043428861 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-12-31 |
| Authorized Official Name | MR. ALAN T NIELSEN (TREASURER) |
| Authorized Official Telephone | 8473153523 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALGREENS BOOTS ALLIANCE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 201004058 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010210887 | 05 | |
| VA | 010210895 DME | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4838908 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #10106 | 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 |
3520 ELLWOOD AVE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23221-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448230 | Katrina Heidi Rubin | Pharmacist | 3520 Ellwood Ave, Richmond, VA 23221-2723 | 2020-08-20 |
| 1770830929 | Jennifer Williams | Pharmacist | 3520 Ellwood Ave, Richmond, VA 23221-2723 | 2012-08-07 |
| 1073886693 | Stephen E Bolte | Pharmacist | 3520 Ellwood Ave, Richmond, VA 23221-2723 | 2012-02-13 |
| 1588933758 | Carolyn B Cutright | Pharmacist | 3520 Ellwood Ave, Richmond, VA 23221-2723 | 2011-12-18 |
| 1528337797 | Beth E Gingrow | Pharmacist | 3520 Ellwood Ave, Richmond, VA 23221-2723 | 2011-12-17 |
| 1669749172 | Amy Lynn Feldkamp | Pharmacist | 3520 Ellwood Ave, Richmond, VA 23221-2723 | 2011-11-29 |
| 1881961464 | Mark A Sneide | Pharmacist | 3520 Ellwood Ave, Richmond, VA 23221-2723 | 2011-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144874694 | Lauren Sarah Debski | Nurse Practitioner | 204 North Hamilton St. Suite B, Richmond, VA 23221 | 2019-08-01 |
| 1144607177 | Rachel Rowden | Behavioral Analyst | 3414 Monument Ave Unit 304, Richmond, VA 23221 | 2015-04-28 |
| 1497091938 | Kate Tucker Tibbs | Nurse Practitioner | 2342 Colony Crossing Place, Midlothian, VA 23221 | 2013-01-02 |
| 1821249723 | James Taylor | Dentist | 3605 Grove Ave., Richmond, VA 23221 | 2008-10-09 |
| 1811150121 | Lisa Ann Armstrong | Dietitian, Registered | 3536 Grove Avenue, Richmond, VA 23221 | 2008-07-07 |
| 1588835391 | Sarah E. Charbonneau | Social Worker | 3026a West Cary Street, Richmond, VA 23221 | 2008-03-19 |
| 1639347990 | The Virginia League for Planned Parenthood | Clinic/Center | 201 N. Hamilton St, Richmond, VA 23221 | 2008-02-20 |
| 1912104753 | Rebecca D Angus | Dentist | 4509 W Franklin St, Richmond, VA 23221 | 2007-06-27 |
| 1598851578 | Adams, Adams, and Epperly Dds PC | Dentist | 4315 Grove Avenue, Richmond, VA 23221 | 2006-10-05 |
| 1164518882 | Mark Richard Lane | Counselor | 4201 Patterson Ave, Richmond, VA 23221 | 2006-10-04 |
| Find all providers in zip 23221 | ||||
| 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 |
|---|---|---|---|---|
| 1770115131 | Eliz Pharmacy LLC | Pharmacy | 7120 Fm 1464 Rd Ste D, Richmond, TX 77407-6400 | 2020-02-04 |
| 1235619123 | Always First Pharmacy LLC | Pharmacy | 8620 Grand Mission Blvd Ste I, Richmond, TX 77407-5419 | 2018-08-20 |
| 1447702626 | Kelcare LLC | Pharmacy | 22001 Southwest Fwy Ste 110, Richmond, TX 77469-7002 | 2016-11-04 |
| 1396136156 | Cz Services Inc | Pharmacy | 860 Harbour Way S Ste E, Richmond, CA 94804-3648 | 2015-02-13 |
| 1386081982 | C3 Healthcare Rx | Pharmacy | 2026 Dabney Rd, Richmond, VA 23230 | 2013-05-23 |
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| 1083999122 | Carters Pharmacy Rx LLC | Pharmacy | 1202 Lark Ln Ste 3, Richmond, TX 77469-7433 | 2011-10-20 |
| 1013227149 | Mariste Pharmaceuticals LLC | Pharmacy | 8710 Grand Mission Blvd Ste H, Richmond, TX 77407-5413 | 2010-10-07 |
| 1497994594 | Riverside Healthcare Services | Pharmacy | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2009-02-12 |
| 1932399383 | South River Compounding Pharmacy West End, Inc. | Pharmacy | 3656 Mayland Ct, Richmond, VA 23233-1409 | 2007-07-31 |
| Find all providers in RICHMOND | ||||
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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.