WALGREEN CO (NPI# 1114932175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114932175 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #03271 |
| Practice Address |
3990 E Lucas Dr Beaumont TX 77708-5513 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 4098982990 |
| Practice Fax Number | 4098983471 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-05-06 |
| 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 | 10642 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 468516 | 05 | |
| TX | 462212 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4503505 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #03271 | 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 |
3990 E LUCAS DR |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77708-5513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403993 | Anthony Aguinaga | Pharmacist | 3990 E Lucas Dr, Beaumont, TX 77708-5513 | 2020-09-23 |
| 1164896098 | Patrick Wamaitha | Pharmacist | 3990 E Lucas Dr, #1725, Beaumont, TX 77708-5513 | 2015-11-16 |
| 1649584111 | Catherine N Nkwanchung | Pharmacist | 3990 E Lucas Dr, Beaumont, TX 77708-5513 | 2010-07-27 |
| 1619280922 | Rhonda R. Babino | Pharmacist | 3990 E Lucas Dr, Beaumont, TX 77708-5513 | 2010-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629445333 | Wael Hamdan | Dentist | 6970 Firethorn, Beaumont, TX 77708 | 2015-08-28 |
| 1649658238 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 11025 Eastex Freeway, Suites D/e, Beaumont, TX 77708 | 2015-05-14 |
| 1083804520 | Roland Melvin Williams | Dentist | 7640 Eastex Frwy, Beaumont, TX 77708 | 2007-07-31 |
| 1609980523 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 5125 Mcanelly Dr, Beaumont, TX 77708 | 2006-08-18 |
| 1598879413 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 5965 Navajo Trail, Beaumont, TX 77708 | 2006-08-18 |
| 1962441980 | Mobility Scooters | Durable Medical Equipment & Medical Supplies | 10955 A Eastex Freeway, Beaumont, TX 77708 | 2006-06-05 |
| 1932347606 | National Seating & Mobility, Inc | Home Health | 10945 Eastex Fwy, Beaumont, TX 77708-0902 | 2009-02-03 |
| 1003824814 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 11125 Eastex Fwy, Beaumont, TX 77708-0906 | 2006-08-04 |
| 1548279888 | Pulse Homecare, Ltd. | Home Health | 10485 Eastex Fwy Ste C, Beaumont, TX 77708-1052 | 2006-08-05 |
| 1356966980 | Carol Devera Guillory | Occupational Therapist | 4535 Holst St, Beaumont, TX 77708-1531 | 2020-06-09 |
| Find all providers in zip 77708 | ||||
| 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 |
|---|---|---|---|---|
| 1447814306 | Beaumont Best Rx | Pharmacy | 8350 Phelan Blvd Ste F, Beaumont, TX 77706-5660 | 2019-04-25 |
| 1366941031 | Principle Pharmacy LLC | Pharmacy | 87 Interstate 10 N Ste 125, Beaumont, TX 77707-2548 | 2018-02-07 |
| 1215362298 | Bansi Corporation | Pharmacy | 1657 East 6th St, Beaumont, CA 92223 | 2013-09-09 |
| 1801026505 | Peccio Medi-mart Plus L L C | Pharmacy | 3035 College St, Beaumont, TX 77701-4640 | 2009-07-16 |
| 1962578500 | Retail Investors of Texas, Ltd. | Pharmacy | 655 E Lavaca, Beaumont, TX 77705-3897 | 2006-11-27 |
| 1275606709 | Kroger Texas L P | Pharmacy | 3845 Phelan Blvd, Beaumont, TX 77707-2243 | 2006-11-15 |
| 1609975929 | Brookshire Brothers Inc | Pharmacy | 15303 Highway 124, Beaumont, TX 77705-9127 | 2006-09-22 |
| 1629183660 | Shree Yogeshwar Inc | Pharmacy | 365 Forsythe St, Beaumont, TX 77701-3304 | 2006-08-20 |
| 1114382389 | Beaumont Drugs LLC | Pharmacy | 881 Highway 198, Beaumont, MS 39423-2070 | 2015-12-15 |
| 1154799336 | Pharmblue Texas LLC | Pharmacy | 1495 N 7th St, Beaumont, TX 77702-1345 | 2015-09-04 |
| Find all providers in BEAUMONT | ||||
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.