WALGREEN CO (NPI# 1104831494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104831494 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #04136 |
| Practice Address |
1919 Fruitridge Rd Sacramento CA 95822-3114 |
| Mailing Address |
1901 E Voorhees St Ms790 Danville IL 61834-4509 |
| Practice Telephone | 9164575733 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-09-28 |
| 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 | PHY43179 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1104831494 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0574485 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04136 | 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 |
1919 FRUITRIDGE RD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95822-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982972683 | Darrel Wayne Foth | Pharmacist | 1919 Fruitridge Rd, Sacramento, CA 95822-3114 | 2011-12-08 |
| 1164706834 | Nancy V Chun | Pharmacist | 1919 Fruitridge Rd, Sacramento, CA 95822-3114 | 2011-09-29 |
| 1629350376 | Navdeep Atwal | Pharmacist | 1919 Fruitridge Rd, Sacramento, CA 95822-3114 | 2011-09-19 |
| 1790067445 | Tho H Tran | Pharmacist | 1919 Fruitridge Rd, Sacramento, CA 95822-3114 | 2011-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667181 | Raley's | Pharmacy | 4690 Freeport Blvd, Sacramento, CA 95822 | 2020-04-03 |
| 1942853288 | Sam Brannan Middle School / Sacramento City Unified School District | Local Education Agency (LEA) | 5301 Elmer Way, Sam Brannan Middle School, Sacramento, CA 95822 | 2019-07-16 |
| 1629596440 | Christina Marie Gonzalez | Counselor | 6116 Ventura St, Sacramento, CA 95822 | 2017-08-31 |
| 1447577598 | A Touch of Faith Resource Center | Counselor | 2251 Florin Road, Suite 129, Sacramento, CA 95822 | 2010-04-29 |
| 1013195411 | Carole G Cannon | Physical Therapist | 1090 Rio Lane, Sacramento, CA 95822 | 2008-02-07 |
| 1841310919 | Andrew S Kassels | Dentist | 6030 South Land Park Drive, Sacramento, CA 95822 | 2007-03-30 |
| 1386701852 | Correy Po-hong Lai | Acupuncturist | 2001 Oregon Dr., Sacramento, CA 95822 | 2007-01-03 |
| 1407911472 | Yolanda D Gonzales Dmd Inc | Dentist | 2378 Fruitridge Rd, Sacramento, CA 95822 | 2006-12-27 |
| 1912072935 | Brian Wayne Dong | Dentist | 5665 Freeport Bl Suite 3, Sacramento, CA 95822 | 2006-11-22 |
| 1659442382 | Adriane Rodica Scortia | Dentist | 4611 Freeport, Bl #5, Sacramento, CA 95822 | 2006-11-13 |
| Find all providers in zip 95822 | ||||
| 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 |
|---|---|---|---|---|
| 1780206557 | Ten Acres Pharmacy | Pharmacy | 2930 Freeport Blvd, Sacramento, CA 95818 | 2020-05-14 |
| 1801383443 | Kaiser Foundation Health Plan Inc | Pharmacy | 501 J St Fl 6, Sacramento, CA 95814-2325 | 2018-04-19 |
| 1497259956 | Kaiser Foundation Health Plan Inc | Pharmacy | 501 J St Fl 1, Sacramento, CA 95814-2325 | 2018-03-20 |
| 1366990293 | Corrections and Rehabilitation | Pharmacy | 8364 Rovana Circle, Sacramento, CA 95828-2522 | 2016-09-20 |
| 1962894709 | Star Scripts Inc | Pharmacy | 2087 Arena Blvd Ste 160, Sacramento, CA 95834-2323 | 2015-03-03 |
| 1528484631 | Greenhaven Pharmacy | Pharmacy | 7248 S Land Park Dr Ste 116, Sacramento, CA 95831-3661 | 2014-03-13 |
| 1427396779 | Regents of The University of California | Pharmacy | 4501 X St Rm 1008, Sacramento, CA 95817-2229 | 2013-01-22 |
| 1336487685 | Regents of The University of California | Pharmacy | 4860 Y St Rm 1200, Sacramento, CA 95817-2307 | 2013-01-22 |
| 1013202829 | Vang Pharmacy Inc | Pharmacy | 7260 E Southgate Dr Ste E, Sacramento, CA 95823-2609 | 2011-06-09 |
| 1669762944 | Payless Pharmacy Inc | Pharmacy | 2303 Northgate Blvd, Sacramento, CA 95833-2504 | 2011-04-07 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95822 |
Please comment or provide details below to improve the information on WALGREEN CO.
| 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.