WALGREEN CO (NPI# 1003823980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003823980 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #06145 |
| Practice Address |
3312 E 29th St Bryan TX 77802-2730 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 9797769128 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2019-05-14 |
| 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 | 20752 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4517883 | 01 | |
| TX | 464789 | 05 | |
| TX | 469458 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #06145 | 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 |
3312 E 29TH ST |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730603945 | Adriana Nicolle Amagliani | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2017-07-29 |
| 1194188433 | Daniel Lam | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2016-04-04 |
| 1619346962 | Bunnath Hou Chy | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2015-09-16 |
| 1124429105 | Jenna Thornton | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2014-09-10 |
| 1316387806 | Collin James Peacock | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2013-06-27 |
| 1649518622 | Kuo-hong Chuang | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2013-01-25 |
| 1043595366 | Walgreens | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2011-10-18 |
| 1114256518 | Mary Katherine Hines | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2009-12-14 |
| 1346579737 | Homa Arbab Spencer | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2009-12-14 |
| 1265761704 | Judy Voyles | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2009-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| 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 |
|---|---|---|---|---|
| 1952849309 | Oben Pharmacy Group LLC | Pharmacy | 4500 Carter Creek Pkwy Ste 202, Bryan, TX 77802-4494 | 2017-02-06 |
| 1366469553 | Wal-mart Stores East Lp | Pharmacy | 1215 S Main St, Bryan, OH 43506-2442 | 2006-07-16 |
| 1316932551 | Ringers Drug Store Inc Dba Ringers Drug Store | Pharmacy | 125 S Main St, Bryan, OH 43506-1754 | 2005-09-14 |
| 1972128874 | St.meena Pllc | Pharmacy | 2601 Osler Blvd, Bryan, TX 77802-2516 | 2020-06-16 |
| 1578802211 | Health Partners of Western Ohio | Pharmacy | 228 S Main St, Bryan, OH 43506-1755 | 2013-01-31 |
| 1912056730 | Brazos Valley Community Action Agency Inc | Pharmacy | 3370 S Texas Ave, Bryan, TX 77802-3127 | 2007-01-10 |
| 1326033523 | Ringers Drug Store Inc Dba Ringers Prof Pharmacy | Pharmacy | 442 W High St, Bryan, OH 43506-1681 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305619 | Kasaundra Deleon | Pharmacy | 802 E Us Hwy, Richardson, TX 75081 | 2020-10-30 |
| 1205435138 | N.p. Consultants Viii, LLC | Pharmacy | 2115 Pleasanton Rd Ste 100, San Antonio, TX 78221-1300 | 2020-10-21 |
| 1619575362 | Ava Healthcare LLC | Pharmacy | 1600 W Louisiana St Ste 700, Mckinney, TX 75069-7881 | 2020-10-14 |
| 1174120562 | Medela Pharmacy Inc | Pharmacy | 6550 Mapleridge St Ste 200, Houston, TX 77081-4647 | 2020-10-08 |
| 1891392387 | Scriptdash Inc | Pharmacy | 475 State Highway 121 Byp Ste 150, Lewisville, TX 75067-8154 | 2020-10-07 |
| 1164037594 | Nanes Pharmacy LLC | Pharmacy | 17030 Nanes Dr Ste 105a, Houston, TX 77090-2503 | 2020-09-11 |
| 1528672342 | Still Living LLC | Pharmacy | 5344a N Tarrant Pkwy, Fort Worth, TX 76244-6293 | 2020-08-31 |
| 1407469471 | Scriptdash Inc | Pharmacy | 6201 W Plano Pkwy Ste 400, Plano, TX 75093-4907 | 2020-08-28 |
| 1104439629 | Rxmed Pharmacy Pllc | Pharmacy | 502 N Valley Pkwy Ste 1a, Lewisville, TX 75067-3437 | 2020-08-25 |
| 1265045751 | Homecare Pharmacy LLC | Pharmacy | 8700 S Braeswood Blvd Ste B2, Houston, TX 77031-1338 | 2020-08-25 |
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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.