WALGREEN CO (NPI# 1164603403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164603403 |
Entity Type | Organization |
Organization Name | WALGREEN CO |
Other Organization Name | WALGREENS #11576 |
Practice Address |
1979 Lime Kiln Rd Bellevue WI 54311-6219 |
Mailing Address |
1901 E Voorhees St M/s 790 Danville IL 61834-4509 |
Practice Telephone | 9204970985 |
Mailing Telephone | 2177092386 |
Mailing Fax Number | 2177092344 |
Enumeration Date | 2007-11-15 |
Last Update Date | 2016-01-11 |
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 | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 333600000X | Pharmacy | 8801-042 | WI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 36223300 | 05 | |
NCPDP | 5130290 | 01 |
Other Name | Type Code |
---|---|
WALGREENS #11576 | Other Name - Individual/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 |
1979 LIME KILN RD |
City | BELLEVUE |
State | WI |
Zip Code | 54311-6219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
Find all providers in zip 54311 |
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 |
---|---|---|---|---|
1033755731 | Scriptdash Inc | Pharmacy | 13010 Ne 20th St Ste 200, Bellevue, WA 98005-2034 | 2019-11-18 |
1386962298 | The Bartell Drug Co | Pharmacy | 11919 Ne 8th St, Bellevue, WA 98005-3023 | 2010-05-17 |
1194043018 | The Bartell Drug Co | Pharmacy | 3620 Factoria Blvd Se, Bellevue, WA 98006-6128 | 2010-05-17 |
1134252976 | Thu-thao Thi Le | Pharmacy | 120 106th Ave Ne, Bellevue, WA 98004-5910 | 2007-03-13 |
1588707996 | No Frills Pharmacy LLC | Pharmacy | 909 Fort Crook Rd N, Bellevue, NE 68005-4335 | 2007-02-15 |
1164568788 | Newport Hills Drug Inc. | Pharmacy | 5620 119th Ave Se, Bellevue, WA 98006-3738 | 2007-01-30 |
1518035310 | Lzk Inc | Pharmacy | 612 Lincoln Ave, Bellevue, PA 15202-3406 | 2006-12-01 |
1750396107 | Counsel Rx Inc. | Pharmacy | 234 W Main St, Bellevue, OH 44811-1330 | 2006-07-31 |
1285649889 | Bhms Inc | Pharmacy | 234 W Main St Ste B, Bellevue, OH 44811-1330 | 2006-07-30 |
1407871049 | Fred Meyer Stores Inc | Pharmacy | 2636 Bellevue Way Ne, Bellevue, WA 98004 | 2006-07-13 |
Find all providers in BELLEVUE |
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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.