WALGREEN CO (NPI# 1023025947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023025947 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #05767 |
| Practice Address |
2204 Southmore Ave Pasadena TX 77502-1420 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7134738267 |
| Practice Fax Number | 7134738283 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2019-05-13 |
| 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 | 20388 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4513051 | 01 | |
| TX | 464670 | 05 | |
| TX | 470846 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #05767 | 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 |
2204 SOUTHMORE AVE |
| City | PASADENA |
| State | TX |
| Zip Code | 77502-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992081921 | Rosemary Obiageli Ndukauba | Pharmacist | 2204 Southmore Ave, Pasadena, TX 77502-1420 | 2011-10-21 |
| 1841527140 | Marco Antonio Martinez | Pharmacist | 2204 Southmore Ave, Pasadena, TX 77502-1420 | 2009-11-06 |
| 1609103001 | Colleen G. Ashley | Pharmacist | 2204 Southmore Ave, Pasadena, TX 77502-1420 | 2009-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306310040 | Daniel Max & Marcandrea LLC | Optometrist | 310 Southmore Ave, Pasadena, TX 77502 | 2019-01-16 |
| 1700393931 | Michelle D Hanson | Family Medicine | 1430 Pasadena Blvd Ste A, Pasadena, TX 77502 | 2018-01-09 |
| 1164952693 | Christopher James Coroneos | Student in an Organized Health Care Education/Training Program | 1515 Holocombe Blvd. The University of Texas Md Anderso, Houston, TX 77502 | 2017-06-18 |
| 1205368529 | National Vision, Inc. | Technician/Technologist | 1008 E Southmore Ave, Suite 120, Pasadena, TX 77502 | 2017-03-28 |
| 1265973101 | Ahmad Khalil | Dentist | 1313 Strawberry Rd, Pasadena, TX 77502 | 2017-03-11 |
| 1609242486 | Abc Dentistry Strawberry, Pllc | Dentist | 1319 Strawberry, Pasadena, TX 77502 | 2015-08-17 |
| 1578812079 | Apollo Healthcare At Bay Area, Lp | Skilled Nursing Facility | 4900 E. Sam Houston South, Pasadena, TX 77502 | 2012-08-30 |
| 1487956553 | Kkt Medical, Pllc | Clinic/Center | 2615 Strawberry Road, Pasadena, TX 77502 | 2010-11-23 |
| 1780811604 | Richard Daniel Hall | Chiropractor | 1210 W Allendale Rd, Pasadena, TX 77502 | 2009-06-18 |
| 1285880435 | Angel Amador Roman | Dentist | 2515 Strawberry, Pasadena, TX 77502 | 2008-08-07 |
| Find all providers in zip 77502 | ||||
| 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 |
|---|---|---|---|---|
| 1891244430 | Precisionmeds Services Inc. | Pharmacy | 638 E Colorado Blvd, Suite 202, Pasadena, CA 91101-2006 | 2016-09-23 |
| 1174079701 | Cvs | Pharmacy | 3883 E. Foothill Blvd, Pasadena, CA 91107 | 2016-09-01 |
| 1447653787 | Community Health Alliance of Pasadena | Pharmacy | 1855 N Fair Oaks Ave Ste 100, Pasadena, CA 91103-1620 | 2014-10-01 |
| 1104166552 | Riviera Drugs LLC | Pharmacy | 8541 Fort Smallwood Rd, Unit G, Pasadena, MD 21122-2676 | 2013-02-21 |
| 1679863575 | Burke Family Pharmacy Inc | Pharmacy | 722 Fairmont Pkwy, Pasadena, TX 77504-2804 | 2011-04-12 |
| 1023328374 | O&w Interests LLC | Pharmacy | 3954 Spencer Hwy, Pasadena, TX 77504-1206 | 2010-10-19 |
| 1386717817 | Kroger Texas L P | Pharmacy | 3550 Spencer Hwy, Pasadena, TX 77504-1110 | 2006-11-15 |
| 1285707711 | Kroger Texas L P | Pharmacy | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2006-11-15 |
| 1336230010 | Diran B.bahadourian | Pharmacy | 1864 E Washington Blvd, Suite #105, Pasadena, CA 91104-1647 | 2006-09-27 |
| 1831299874 | 986 Specialty Pharmacy Pasadena Inc | Pharmacy | 1719 E. Walnut St., Pasadena, CA 91106-1611 | 2006-09-22 |
| Find all providers in PASADENA | ||||
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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.