WALGREEN CO (NPI# 1124033147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124033147 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #04567 |
| Practice Address |
6485 Wilmington Pike Centerville OH 45459-7110 |
| Mailing Address |
1901 E Voorhees St Mailstop #790 Danville IL 61834-4509 |
| Practice Telephone | 9374335314 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-11-12 |
| Authorized Official Name | MR. ALAN T NIELSEN (TREASURER) |
| Authorized Official Telephone | 8473153523 |
| 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 | 21057150 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2050131 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3664782 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04567 | 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 |
6485 WILMINGTON PIKE |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45459-7110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255616066 | Holly L Kershner | Pharmacist | 6485 Wilmington Pike, Centerville, OH 45459 | 2011-10-13 |
| 1063796043 | Rebecca Lynn Hasbrook | Pharmacist | 6485 Wilmington Pike, Centerville, OH 45459-7110 | 2011-10-07 |
| 1558644484 | Michelle Lee Motil | Pharmacist | 6485 Wilmington Pike, Centerville, OH 45459-7110 | 2011-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| 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 |
|---|---|---|---|---|
| 1225550031 | Saint Thomas Health | Pharmacy | 150 East Swan Street, Centerville, TN 37033 | 2017-07-13 |
| 1154574010 | Clarks Rx LLC | Pharmacy | 922 Senate Dr, Centerville, OH 45459-4017 | 2008-10-23 |
| 1922107481 | Mr Prescription Inc | Pharmacy | 6149 Far Hills Ave, Centerville, OH 45459-1925 | 2006-09-21 |
| 1295838332 | Leon County Pharmacy Inc | Pharmacy | 316 S Commerce St, Centerville, TX 75833-3595 | 2006-09-06 |
| 1700803988 | Wal-mart Stores East Lp | Pharmacy | 6244 Wilmington Pike, Centerville, OH 45459-7024 | 2006-07-16 |
| 1114962123 | Discount Drug Mart Inc | Pharmacy | 1575 Lyons Rd, Centerville, OH 45458-1881 | 2006-06-17 |
| 1932570173 | Fred's Inc | Pharmacy | 1797 Highway 100, Centerville, TN 37033-1063 | 2015-10-14 |
| 1922107663 | Midland Pharmacy, Inc | Pharmacy | 414 N 18th St, Centerville, IA 52544-1823 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114013 | North Linden Pharmacy | Pharmacy | 1000 Georgesville Rd Ste B, Columbus, OH 43228-3304 | 2020-11-05 |
| 1477150951 | Genesis Healthcare System | Pharmacy | 945 Bethesda Dr Ste 20, Zanesville, OH 43701-0801 | 2020-10-07 |
| 1700493517 | Health Springs Rx LLC | Pharmacy | 9474 Springboro Pike, Miamisburg, OH 45342-4426 | 2020-09-25 |
| 1154939304 | University Hospitals Home Care Services Inc | Pharmacy | 24865b Emery Rd, Attn: Allene Naples, Warrensville Heights, OH 44128-5636 | 2020-07-14 |
| 1285257451 | Signal Hill Solutions, Inc. | Pharmacy | 5718 Signal Hill Ct Ste B, Milford, OH 45150-1452 | 2020-05-22 |
| 1912527979 | Wellness 1 Pharmacy- Mason | Pharmacy | 6681 Western Row Rd, Mason, OH 45040-1305 | 2020-04-20 |
| 1972122927 | Matrix Rx LLC | Pharmacy | 3775b Trueman Ct, Hilliard, OH 43026-2496 | 2020-04-09 |
| 1770112526 | Hebron Rx Care LLC | Pharmacy | 96-d Integrity Dr, Hebron, OH 43025 | 2020-04-03 |
| 1740816453 | Mahavir Swami LLC | Pharmacy | 540 N Center St, Lagrange, OH 44050-9749 | 2020-03-14 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
| City | CENTERVILLE |
| Zip Code | 45459 |
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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.