WALGREEN CO (NPI# 1013922301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013922301 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #01179 |
| Practice Address |
1795 E Capitol Expy San Jose CA 95121-1561 |
| Mailing Address |
1901 E Voorhees St Ms790 Danville IL 61834-4509 |
| Practice Telephone | 4082385890 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-09-20 |
| 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 | PHY22433 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0575184 | 01 | |
| CA | 1013922301 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #01179 | 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 |
1795 E CAPITOL EXPY |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95121-1561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689118069 | Marian Tay | Pharmacist | 1795 E Capitol Expy, San Jose, CA 95121-1561 | 2016-12-05 |
| 1538443627 | Katie Khuelan Le | Pharmacist | 1795 E Capitol Expy, San Jose, CA 95121-1561 | 2011-10-06 |
| 1871877951 | Thi Pham | Pharmacist | 1795 E Capitol Expy, San Jose, CA 95121-1561 | 2011-10-06 |
| 1417230871 | Alexandra Tran | Pharmacist | 1795 E Capitol Expy, San Jose, CA 95121-1561 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922669597 | Tracy Filler, Dmd, Inc. | Dentist | 1569 Lexann Drive, Suite 202, San Jose, CA 95121 | 2019-06-25 |
| 1508422775 | Tri Starr Home Care LLC | PACE Provider Organization | 1669 Flanigan Dr., Unit H, San Jose, CA 95121 | 2019-05-14 |
| 1538681325 | Sujata S Gawande | Dentist | 2060 Aborn Rd Ste 125, San Jose, CA 95121 | 2017-07-12 |
| 1871950188 | Keiana Harrington | Behavioral Analyst | 6958 Del Rio Dr., San Jose, CA 95121 | 2016-01-19 |
| 1679812556 | Hien Van Nguyen | Pediatrics | 1675 Burdette Dr, Ste #20, San Jose, CA 95121 | 2013-02-12 |
| 1013290766 | Minh V Nguy | Dentist | 3161 Senter Road, San Jose, CA 95121 | 2011-09-20 |
| 1528388139 | Vu V. Le Chiro | Chiropractor | 1059 E. Capitol Expressway, San Jose, CA 95121 | 2010-06-04 |
| 1205087012 | Lanni Huynh | Acupuncturist | 2936 Aborn Square, San Jose, CA 95121 | 2008-10-10 |
| 1598936676 | Soumya Shivanna | Dentist | 1620 E.capitol Expressway, Suite C, San Jose, CA 95121 | 2008-03-18 |
| 1144434903 | Jeremy D. Lai | Pharmacist | 1569 Lexann Avenue, Suite 104, San Jose, CA 95121 | 2007-05-10 |
| Find all providers in zip 95121 | ||||
| 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 |
|---|---|---|---|---|
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1952923591 | Bay Area Pharmacy | Pharmacy | 2519 S King Rd, San Jose, CA 95122-1825 | 2020-05-16 |
| 1437788015 | Vietnam Pharmacy Inc | Pharmacy | 2451 S King Rd Suite A1, San Jose, CA 95122 | 2020-04-06 |
| 1508403841 | Kc Pharmacy Corporation | Pharmacy | 2060 Aborn Rd Ste 150b, San Jose, CA 95121-1587 | 2019-12-05 |
| 1902307358 | Kaiser Foundation Health Plan Inc | Pharmacy | 1721 Technology Dr Fl 1, San Jose, CA 95110-1305 | 2018-02-21 |
| 1184178063 | Drogueria San Jose Inc | Pharmacy | 25 N 14th St Ste 168, San Jose, CA 95112-6204 | 2016-08-09 |
| 1578919510 | Leiters Enterprises Inc | Pharmacy | 6541 Via Del Oro Ste B, San Jose, CA 95119-1207 | 2016-05-09 |
| 1861852030 | Evergreen Pharmacy Inc | Pharmacy | 2365 Quimby Rd Ste 150, San Jose, CA 95122-1337 | 2016-03-02 |
| 1497124689 | Tt Pharmacy | Pharmacy | 1863 Alum Rock Ave Ste A, San Jose, CA 95116-1397 | 2015-09-18 |
| 1619345527 | Botika Inc | Pharmacy | 1939 Monterey Hwy Ste 2, San Jose, CA 95112-6149 | 2015-09-09 |
| Find all providers in SAN JOSE | ||||
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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.