WALGREEN CO


Address: 1050 Redwood St, Vallejo, CA 94590-2955
Phone: 7075576948

WALGREEN CO (NPI# 1023023306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023023306
Entity Type Organization
Organization Name WALGREEN CO
Other Organization Name WALGREENS #03171
Practice Address 1050 Redwood St
Vallejo
CA 94590-2955
Mailing Address 1901 E Voorhees St
Ms 790
Danville
IL 61834-4509
Practice Telephone 7075576948
Mailing Telephone 2177092386
Mailing Fax Number 2177092344
Enumeration Date 2006-07-29
Last Update Date 2018-09-27
Authorized Official Name ALYSSA SWEETEN (MANAGER)
Authorized Official Telephone 2177092386
Is Organization Subpart Y
Parent Organization Name WALGREENS BOOTS ALLIANCE INC

Taxonomy

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 PHY40248 CA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 0553241 01
CA 1023023306 05

Other Provider/Organization Names

Other Name Type Code
WALGREENS #03171 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 1050 REDWOOD ST
City VALLEJO
State CA
Zip Code 94590-2955

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093314361 Grace Alferez Espiritu Pharmacist 1050 Redwood St, Vallejo, CA 94590-2955 2020-10-19
1245795954 Nicole Galay Pharmacist 1050 Redwood St, Vallejo, CA 94590-2955 2019-02-06
1548770134 Kelley Kita Pharmacist 1050 Redwood St, Vallejo, CA 94590-2955 2017-10-09
1366977142 Chinedum Samuel Anunwa Pharmacist 1050 Redwood St, Vallejo, CA 94590-2955 2017-04-28
1265856959 Judea Mintalar Pharmacist 1050 Redwood St, Vallejo, CA 94590-2955 2014-02-14
1710247838 Annette Marshall Pharmacist 1050 Redwood St, Vallejo, CA 94590-2955 2012-05-23
1578832184 Ayman Mohammad Ahmad Pharmacist 1050 Redwood St, Vallejo, CA 94590-2955 2011-12-28
1851675854 Joy De Jesus Tabamo Pharmacist 1050 Redwood St, Vallejo, CA 94590-2955 2011-10-10
1043594823 Brian Ho Pharmacist 1050 Redwood St, Vallejo, CA 94590-2955 2011-09-28
1093097685 Marie-claire Caleja Agcaoili Pharmacist 1050 Redwood St, Vallejo, CA 94590-2955 2011-09-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265051445 Jaspreet Bains Licensed Vocational Nurse 508 Alabama Street, Vallejo, CA 94590 2020-04-08
1467097527 Deneane Hannon Behavioral Analyst 238 Georgia St. Ste 102, Vallejo, CA 94590 2019-11-13
1780243196 Abla Harara Almoraissi Health Educator John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 2019-06-10
1891264461 Brian Emory Kellogg Marriage & Family Therapist 525 Oregon St., Php/iop, Vallejo, CA 94590 2018-11-13
1952801862 Carica Theresa Saraza Macariola Specialist/Technologist 1007 Solano Avenue, Vallejo, CA 94590 2018-02-16
1770007973 Deborah A Johnson-white Licensed Vocational Nurse 908 Tuolumne, Vallejo, CA 94590 2017-07-29
1306378260 Edgar Diaz Counselor 236 Georgia Street Suite 101, Vallejo, CA 94590 2017-03-30
1528440096 Soren Perry Counselor 236 Georgia St., Vallejo, CA 94590 2015-06-22
1518366327 Kimberly A Holland Counselor 631 Tennessee Street Suite 201, Vallejo, CA 94590 2014-08-18
1841605193 Lawana Lofton Psychologist 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 2014-06-25
Find all providers in zip 94590

Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689047441 Capital City Pharmacy Pharmacy 339 Georgia St, Vallejo, CA 94590-5906 2015-11-02
1629126412 Kaiser Foundation Hospitals Pharmacy 975 Sereno Drive Hosp Bldg, Vallejo, CA 94589 2007-01-08
1740390343 Costco Wholesale Corporation Pharmacy 198 Plaza Dr, Vallejo, CA 94591 2006-08-30
1750328209 Lucky Stores II LLC Pharmacy 1740 Tuolumne St, Vallejo, CA 94589-2619 2006-06-01
1326583287 Safeway, Inc. Pharmacy 774 Admiral Callaghan Ln, Vallejo, CA 94591-3650 2017-01-03
1174750368 Kaiser Foundation Health Plan Inc Pharmacy 975 Sereno Dr Fl 2, Mob Med 6, Vallejo, CA 94589-2441 2009-06-16
1053469890 Kaiser Foundation Hospitals Pharmacy 975 Sereno Drive Hosp Bldg, Vallejo, CA 94589 2007-01-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114528940 Kaiser Foundation Health Plan Inc Pharmacy 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 2020-11-06
1891394128 Scriptdash Inc Pharmacy 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 2020-10-19
1235736737 Scriptdash Inc Pharmacy 2360 Qume Dr, San Jose, CA 95131-1838 2020-10-07
1023615150 Kaiser Foundation Health Plan Inc Pharmacy 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 2020-10-01
1033725478 Happy Med Inc. Pharmacy 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 2020-09-21
1366058794 Joanna Jongae Kim Pharmacy 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 2020-09-21
1114532231 Prime Rx San Gabriel, Inc. Pharmacy 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 2020-09-15
1164034260 Tin Rx At The Tower Inc. Pharmacy 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 2020-08-19
1144831702 Cameron Michael Rehmani Seraji Pharmacy 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 2020-08-16
1881204907 Kaiser Foundation Health Plan Inc Pharmacy 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 2020-08-04
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Competitor

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City VALLEJO
Zip Code 94590

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Dataset Information

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.

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