WALGREEN CO. (NPI# 1134318132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134318132 |
Entity Type | Organization |
Organization Name | WALGREEN CO. |
Other Organization Name | WALGREENS #11413 |
Practice Address |
105 W Highway 30 Gonzales LA 70737-4802 |
Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
Practice Telephone | 2256440434 |
Mailing Telephone | 2177092386 |
Mailing Fax Number | 2177092344 |
Enumeration Date | 2007-10-16 |
Last Update Date | 2016-09-02 |
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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 333600000X | Pharmacy | 5926 | LA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP | 1134318132 | 01 | |
LA | 1220451 | 05 |
Other Name | Type Code |
---|---|
Walgreens #11413 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457733222 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 418 Us Highway 22 W, Whitehouse Station, NJ 08889 | 2015-06-29 |
1215334651 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1 Eddie Dowling Hwy, North Smithfield, RI 02896-7305 | 2014-12-01 |
1093112708 | Walgreen Co. | Pharmacy | 500 Route 530, Whiting, NJ 08759 | 2014-11-24 |
1164821070 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 339 Matawan Rd, Matawan, NJ 07747-3901 | 2014-08-15 |
1306198973 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 447 Belmont Ave, Haledon, NJ 07508-1368 | 2012-10-08 |
1437423670 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 901 S Rancho Dr Ste 20, Las Vegas, NV 89106 | 2012-03-06 |
1396018883 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 115 N Euclid Ave Ste A, Saint Louis, MO 63108-1503 | 2012-02-15 |
1013280403 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 | 2012-02-15 |
1588936850 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 4101 Greenbriar Dr Ste 235, Houston, TX 77098 | 2012-02-02 |
1467724716 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 8490 Santa Monica Blvd Ste 1, West Hollywood, CA 90069-4261 | 2012-02-02 |
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 |
105 W HIGHWAY 30 |
City | GONZALES |
State | LA |
Zip Code | 70737-4802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316314982 | Mary Mcguire Gray Simmons | Pharmacist | 105 W Highway 30, Gonzales, LA 70737-4802 | 2015-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
Find all providers in zip 70737 |
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 |
---|---|---|---|---|
1386204659 | Highrhealth | Pharmacy | 516 N Burnside Ave, Gonzales, LA 70737-2830 | 2019-06-18 |
1326409616 | P & C Healthcare LLC | Pharmacy | 117 N Airline Hwy, Gonzales, LA 70737-3024 | 2016-03-14 |
1538203807 | Mohrmann's Drug Store LLC | Pharmacy | 2405 Winding Way Dr, Gonzales, TX 78629-3246 | 2007-02-19 |
1821134958 | Kotzebue Drug Inc | Pharmacy | 525 N Saint Joseph St, Gonzales, TX 78629-4019 | 2007-01-29 |
1033281829 | Dupre and Dupre LLC | Pharmacy | 822 N Burnside Ave, Gonzales, LA 70737-2836 | 2006-11-15 |
1124190913 | Medicine Shoppe of Greater Br Inc | Pharmacy | 1817 S Burnside Ave, Gonzales, LA 70737-4429 | 2006-11-15 |
1659453447 | Landrys Pharmacy Inc | Pharmacy | 416 N Burnside Ave, Gonzales, LA 70737-2828 | 2006-10-20 |
1518071596 | Bertrands Pharmacy Inc | Pharmacy | 2001 S Burnside Ave, Gonzales, LA 70737-4638 | 2006-08-18 |
1609815083 | Albertsons LLC | Pharmacy | 1603 N Airline Hwy, Gonzales, LA 70737-2101 | 2006-06-04 |
1144275983 | Ralph's Drugstores. LLC | Pharmacy | 15013 Highway 44, Ste B, Gonzales, LA 70737 | 2006-05-23 |
Find all providers in GONZALES |
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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.