WALGREEN CO (NPI# 1164949764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164949764 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17015 |
| Practice Address |
4059 Nc Highway 105 S Sugar Mountain NC 28604-8629 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8288988971 |
| Practice Fax Number | 8288985265 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2019-03-18 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 13530 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1164949764 | 05 | |
| NC | NCPDP | 3468368 | 01 |
| Other Name | Type Code |
|---|---|
| Rite Aid | Doing Business As Name - Organization |
| WALGREENS #17015 | 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 |
4059 NC HIGHWAY 105 S |
| City | SUGAR MOUNTAIN |
| State | NC |
| Zip Code | 28604-8629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508199035 | Steven Francis Mateiko | Pharmacist | 4059 Nc Highway 105 S, Sugar Mountain, NC 28604-8629 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184194755 | William H Burrow Dds Pllc Dba High Country Dental Associates | Clinic/Center | 2043 Tynecastle Highway, Banner Elk, NC 28604 | 2018-11-27 |
| 1699268953 | Barium Springs Home for Children | Community/Behavioral Health | 158 Grandfather Home Drive Bldg 2, Banner Elk, NC 28604 | 2018-06-12 |
| 1578973996 | Grandfather Home for Children, Inc. | Community Based Residential Treatment Facility, Mental Illness | 158 Grandfather Home Drive, Banner Elk, NC 28604 | 2014-05-07 |
| 1134417314 | Grandfather Home for Children, Inc. | Community Based Residential Treatment Facility, Mental Illness | 233 Grandfather Home Dr., Banner Elk, NC 28604 | 2011-07-21 |
| 1841598745 | Ivan Smith | Pharmacist | 4059 Nc Hwy 105, Rite Aid Pharmacy, Sugar Mountain, NC 28604 | 2011-03-02 |
| 1043515679 | Grandfather Home for Children, Incorporated | Community/Behavioral Health | 64 Grandfather Home Drive, Banner Elk, NC 28604 | 2011-01-12 |
| 1710133012 | Stephanie Knowles | Social Worker | 158 Grandfather Home for Children Way, Hickory Nut Gap Road, Banner Elk, NC 28604 | 2008-08-18 |
| 1235313909 | Dennis Robert Blair | Respiratory Therapist, Registered | 335 Leslie Ln, Banner Elk, NC 28604 | 2007-12-18 |
| 1780867291 | Robert Jones | Spec/Tech, Cardiovascular | 28 Wildcat Creek Lane, Banner Elk, NC 28604 | 2007-12-07 |
| 1730308172 | Erling L Fredrickson | Social Worker | 158 Grandfather Home Way, Hickory Nut Gap Rd., Banner Elk, NC 28604 | 2007-04-24 |
| Find all providers in zip 28604 | ||||
| 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 |
|---|---|---|---|---|
| 1578163135 | Bl Apothecary | Pharmacy | 2739 W 5th St, Lumberton, NC 28358-7819 | 2020-10-31 |
| 1730795873 | Vaxclinic, LLC | Pharmacy | 4400 Park Rd Ste 316, Charlotte, NC 28209-3289 | 2020-09-22 |
| 1720692908 | Geriatrx | Pharmacy | 1655 Snowmass Way, Durham, NC 27713-4514 | 2020-09-03 |
| 1245841279 | Novant Health Pharmacy Services, LLC | Pharmacy | 125 Queens Rd Ste 180, Charlotte, NC 28204-3215 | 2020-08-13 |
| 1912516287 | Pinetops Pharmacy, Inc. | Pharmacy | 102 W. Hamlet St, Pinetops, NC 27864 | 2020-07-23 |
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1629618285 | Dalia Zaghlool | Pharmacy | 4353 Milhaven Park Ln, Winston Salem, NC 27106-4970 | 2020-01-12 |
| 1770123887 | Scotland Memorial Hospital Inc | Pharmacy | 700 Progress Pl, Laurinburg, NC 28352-5545 | 2020-01-07 |
| 1194361832 | Realo Veterinary Pharmacy Inc | Pharmacy | 3800 Gateway Centre Blvd Ste 308a, Morrisville, NC 27560-6220 | 2019-11-18 |
| 1952946246 | Emily Hodges Hall | Pharmacy | 627 E 12th Street, Washington, NC 27889 | 2019-11-11 |
| Find all providers with the same taxonomy | ||||
| City | SUGAR MOUNTAIN |
| Zip Code | 28604 |
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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.