WALGREEN CO


Address: 561 Irvington Ave # 579, Newark, NJ 07106
Phone: 9733730387

WALGREEN CO (NPI# 1083629067) 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) 1083629067
Entity Type Organization
Organization Name WALGREEN CO
Other Organization Name WALGREENS #03146
Practice Address 561 Irvington Ave # 579
Newark
NJ 07106
Mailing Address 1901 E Voorhees St
Ms #790
Danville
IL 61834-4509
Practice Telephone 9733730387
Practice Fax Number 9733992614
Mailing Telephone 2177092386
Mailing Fax Number 2177092344
Enumeration Date 2006-07-29
Last Update Date 2019-12-06
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 RS003814 NJ Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NJ NCPDP 3127811 01
NJ 4374401 05

Other Provider/Organization Names

Other Name Type Code
WALGREENS #03146 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 561 IRVINGTON AVE # 579
City NEWARK
State NJ
Zip Code 07106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508148081 Altaf Hussain Pharmacist 561 Irvington Ave # 579, Newark, NJ 07106-3103 2011-09-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982175535 Mayurkumar M Rana Pharmacist Komishane's Pharmacy, 199 Stuyvesant Ave, Newak, NJ 07106 2018-12-07
1710457346 Vikki Hatcher Massage Therapist 525 Lrvington Avenue Floor 2, Newark, NJ 07106 2018-11-27
1942728258 Amen Transporation LLC Transportation Broker 105 Lenox Street, Newark, NJ 07106 2017-09-07
1073898466 Rashmi Singh Pharmacist 561-579 Irvington Ave, Newark, NJ 07106 2011-10-17
1760767669 Shridevi Patel Pharmacist 561 Irvington Avenue, Newark, NJ 07106 2011-10-12
1184239352 Chenbin Frederick Liao Pharmacist 561-579 Irvington Ave, Newark, NJ 07106 2020-09-14
1740550763 Maria Veronica Cruz Camacho Pharmacist 561-579 Irvington Ave, Newark, NJ 07106 2012-01-06
1093015000 Dereck L Dillard Home Health Aide 238 Smith St, Newark, NJ 07106 2010-10-25
1245240571 Raisa Samuylova Dentist 5 Manor Dr, Suite #1c, Newark, NJ 07106 2006-08-09
1265614911 Mavis Camalita Faulknor Dietitian, Registered 78 Kenmore Ave, Newark, NJ 07106-1026 2007-12-04
Find all providers in zip 07106

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
1043828577 Siddhivinayak Inc. Pharmacy 90 Bergen St # 1600, Newark, NJ 07103-2425 2020-07-21
1518438506 Delaware Apothecary Pharmacy 1215 Churchmans Rd, Newark, DE 19713-2149 2018-12-17
1053802819 Ferry Pharmacy Pharmacy 165 Ferry St, Newark, NJ 07105 2018-05-28
1770011371 Apollo Pharmacy Inc Pharmacy 130 Summer Ave, Newark, NJ 07104-1903 2017-05-25
1235681032 Jcpr Corp Pharmacy 2600 Glasgow Ave Ste 108, Newark, DE 19702-5703 2016-10-27
1750835104 Trinity Global Pharmacy LLC. Pharmacy 287 S Orange Ave, Newark, NJ 07103-2438 2016-08-14
1184000622 Metro Pharmacy Inc Pharmacy 620 Stanton Christiana Rd Ste 102, Newark, DE 19713-2134 2015-08-06
1538557178 Obeng Pharmacy LLC Pharmacy 671 Martin Luther King Jr Blvd, Newark, NJ 07102-1186 2015-01-06
1790917037 Trimax Medical Services Inc Pharmacy 1299 Mccarter Hwy, Newark, NJ 07104-3757 2009-08-20
1720241649 Option Care Enterprises Inc Pharmacy 604 White Clay Center Dr, Newark, DE 19711 2008-07-10
Find all providers in NEWARK

Competitor

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City NEWARK
Zip Code 07106

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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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