WALGREEN CO (NPI# 1003821349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003821349 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #07777 |
| Practice Address |
625 N 19th St Colorado Springs CO 80904-3459 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7194738834 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-01-04 |
| 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 | 333600000X | Pharmacy | 240000080 | CO | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE P10 | P0040063 | 01 |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0601256 | 01 | |
| CO | 03928140 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #07777 | 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 |
625 N 19TH ST |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80904-3459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730458134 | Jasmine Alice Cessna | Pharmacist | 625 N 19th St, Colorado Springs, CO 80904-3459 | 2011-12-14 |
| 1972871002 | Alan M Henley | Pharmacist | 625 N 19th St, Colorado Springs, CO 80904-3459 | 2011-12-04 |
| 1811274129 | Colleen M Enright | Pharmacist | 625 N 19th St, Colorado Springs, CO 80904-3459 | 2011-11-15 |
| 1134404866 | Joseph Andrew Gonzales | Pharmacist | 625 N 19th St, Colorado Springs, CO 80904-3459 | 2011-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084133 | Tclllc | Behavioral Analyst | 2822 W Cucharras Street, Colorado Springs, CO 80904 | 2020-08-17 |
| 1770131971 | Jill Case Brown | Technician | 3002 W. Kiowa St., Colorado Springs, CO 80904 | 2019-08-30 |
| 1457888232 | Marcia W. Soule Dobson | Counselor | 3510 Temple Drive, Colorado Springs, CO 80904 | 2017-05-11 |
| 1184163610 | Home Healthcare Staffing Solutions Inc | Home Health | 3117 Chambers Way, Colorado Springs, CO 80904 | 2017-02-16 |
| 1104242700 | Optumcare Colorado Springs, LLC | Non-Pharmacy Dispensing Site | 600 S 21st Street, Ste 100, Colorado Springs, CO 80904 | 2014-03-07 |
| 1639595382 | Jessyca Sonia Sterner | Counselor | 2514 Colorado Ave, Suite 200, Colorado Springs, CO 80904 | 2014-03-05 |
| 1508291956 | Diane Chisesi | Anesthesiology | 2517 B. King Street, Colorado Springs, CO 80904 | 2013-09-04 |
| 1124363635 | Piotr Bieniek | Physical Therapy Assistant | 1133 Adams Dr, Colorado Springs, CO 80904 | 2012-12-10 |
| 1235480526 | Barry G. Zile | Physical Therapy Assistant | 1685 S. 21st Street, Colorado Springs, CO 80904 | 2012-09-26 |
| 1326397076 | Christie Sheffer | Midwife | 2524 W. Colorado Avenue, Suite 209, Colorado Springs, CO 80904 | 2012-09-09 |
| Find all providers in zip 80904 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154805067 | Uch-mhs | Pharmacy | 4050 Briargate Pkwy Rm C1318, Colorado Springs, CO 80920-7815 | 2018-09-18 |
| 1790029494 | Walmart Inc. | Pharmacy | 1622 S Academy Blvd, Colorado Springs, CO 80916-4521 | 2012-11-19 |
| 1205099850 | Dillon Companies LLC | Pharmacy | 3620 Austin Bluffs Pkwy, Colorado Springs, CO 80918 | 2008-07-03 |
| 1992982755 | Printers Parkway Pharmacy, LLC | Pharmacy | 155 Printers Pkwy Ste 120, Colorado Springs, CO 80910-6100 | 2008-01-23 |
| 1912182726 | Costco Wholesale Corporation | Pharmacy | 5885 Barnes Rd, Colorado Springs, CO 80922 | 2007-12-31 |
| 1669663027 | Dillon Companies LLC | Pharmacy | 9225 N Union Blvd, Colorado Springs, CO 80920 | 2007-08-09 |
| 1063512309 | City Employee Pharmacy | Pharmacy | 30 S Nevada, Colorado Springs, CO 80903 | 2006-09-25 |
| 1588777288 | Catholic Health Initiatives Colorado | Pharmacy | 3030 N Cascade Ave, Colorado Springs, CO 80907-5108 | 2006-08-16 |
| 1558376897 | Walgreen Co | Pharmacy | 2785 Dublin Blvd, Colorado Springs, CO 80918-1360 | 2006-07-29 |
| 1376572321 | Safeway Inc | Pharmacy | 7655 N Union Blvd, Colorado Springs, CO 80920-3863 | 2006-07-02 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80904 |
Please comment or provide details below to improve the information on WALGREEN CO.
| 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.