WALGREEN CO (NPI# 1053955377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053955377 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | CENTER FOR LIVING WELL-CELEBRATION |
| Practice Address |
1530 Celebration Blvd Ste 100rx Kissimmee FL 34747-5164 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 4078596197 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | KIRA L TAYLOR (MANAGER) |
| Authorized Official Telephone | 2177092351 |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NCPDP | 5743352 | 01 |
| Other Name | Type Code |
|---|---|
| Center for Living Well-Celebration | Doing Business As Name - Organization |
| Walgreens #21291 | 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 |
| 1528600269 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 212a Moore Rd, King, NC 27021-8703 | 2019-10-15 |
| 1275175903 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 255a Charlois Blvd, Winston Salem, NC 27103-1507 | 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 |
1530 CELEBRATION BLVD STE 100RX |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34747-5164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861974073 | Keiler Heberto Moreno Rivero, P.a. | Internal Medicine | 2954 Mallory Cir #200, Kissimmee, FL 34747 | 2018-09-04 |
| 1437644952 | Tri-county Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 1290 Celebration Blvd, Kissimmee, FL 34747 | 2018-06-27 |
| 1669918579 | Kyle Mcclurg | Specialist/Technologist | 700 S Victory Way, Kissimmee, FL 34747 | 2017-01-17 |
| 1194277913 | Norma Ivelisse Arzola | Counselor | 7519 Pellham Way, Kissimmee, FL 34747 | 2016-10-27 |
| 1528416625 | Guillermo Rivera | Counselor | 8401 Titkos Drive Apt 201, Kissimmee, FL 34747 | 2016-05-31 |
| 1659780625 | Keiler Moreno Rivero | Internal Medicine | 2954 Mallory Cir, Suite 200, Kissimmee, FL 34747 | 2014-08-04 |
| 1538596309 | Chad Black Md, LLC | Family Medicine | 610 Sycamore Street Suite 130, Celebration, FL 34747 | 2013-10-10 |
| 1598046344 | Adventist Health System/sunbelt, Inc. | Non-Pharmacy Dispensing Site | 8201 W. Irlo Bronson Hwy, Kissimmee, FL 34747 | 2011-09-07 |
| 1447467170 | Matthew W Johnston | Orthopaedic Surgery | 410 Celectration Place, Suite 106, Celebration, FL 34747 | 2007-05-16 |
| 1457563538 | Eric Edwin Malek | Specialist/Technologist | 700 South Victory Way, Kissimmee, FL 34747 | 2007-05-03 |
| Find all providers in zip 34747 | ||||
| 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 |
|---|---|---|---|---|
| 1255827309 | St.cloud Pharmacy&wellness Center | Pharmacy | St.cloud Pharmacy & Wellness Center, 1503, Billbeck Blvd, Kissimmee, FL 34744 | 2018-07-02 |
| 1386019115 | Central Avenue Pharmacy LLC | Pharmacy | 347 W Oak St, Kissimmee, FL 34741-4421 | 2015-12-04 |
| 1922367291 | Publix Super Markets Inc | Pharmacy | 2338 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744-5401 | 2012-05-08 |
| 1588950414 | Dlka Holdings, LLC | Pharmacy | 1361 E Osceola Pkwy, Kissimmee, FL 34744-1605 | 2011-06-20 |
| 1841599644 | West Lake Pharmacy Inc | Pharmacy | 2544 Simpson Rd, Kissimmee, FL 34744-4637 | 2011-03-18 |
| 1588966568 | Mahimn Rx LLC | Pharmacy | 805 E Oak St Ste 2, Kissimmee, FL 34744-4576 | 2010-11-24 |
| 1164461075 | Publix Super Markets Inc | Pharmacy | 3343 S Orange Blossom Trl, Kissimmee, FL 34746-6565 | 2006-06-06 |
| 1396221867 | Gatus Enterprise, Pllc | Pharmacy | 22 Broadway, Kissimmee, FL 34741-5408 | 2018-07-17 |
| 1629423074 | Phamily Pharmacy LLC | Pharmacy | 407 W Oak St, Kissimmee, FL 34741-4931 | 2016-05-03 |
| 1538523253 | Svs Health Inc | Pharmacy | 1100 N John Young Pkwy, Kissimmee, FL 34741-4201 | 2016-04-08 |
| Find all providers in KISSIMMEE | ||||
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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.