WALGREEN CO (NPI# 1174046148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174046148 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17676 |
| Practice Address |
3732 Route 9w Highland NY 12528-2002 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8456918246 |
| Practice Fax Number | 8456918498 |
| Mailing Telephone | 2117092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2019-10-18 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 036330 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NCPDP | 5823629 | 01 |
| NY | 05051152 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID #4037 | Doing Business As Name - Organization |
| Walgreens #17676 | 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 |
3732 ROUTE 9W |
| City | HIGHLAND |
| State | NY |
| Zip Code | 12528-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372292 | Kate Shults Dammer | Physical Therapist | 280 Rout 299, Suite 1, Highland, NY 12528 | 2020-10-06 |
| 1477194074 | Natalee R Riley | Licensed Practical Nurse | 6 Commercial Ave Apt C, Highland, NY 12528 | 2019-10-04 |
| 1982185930 | Giselle Marietta Colaco | Physical Therapist | Wingate At Ulster, One Wingate Way, Highland, NY 12528 | 2018-08-28 |
| 1083085237 | Alyssa D'alto | Speech-Language Pathologist | 16 Lockhart Lane, Highland, NY 12528 | 2015-10-14 |
| 1689071953 | Althea P. Milton | Social Worker | 15 Oak Crest Drive, Highland, NY 12528 | 2014-12-02 |
| 1295079267 | Colleen P. Mcguigan | Licensed Practical Nurse | 3 Cusa Dr, Highland, NY 12528 | 2012-11-15 |
| 1982984068 | Elizabeth Anne Troicke | Licensed Practical Nurse | 500 Rt 299, Unite 22c, Highland, NY 12528 | 2011-08-22 |
| 1801055272 | Kenneth David Schappe | Massage Therapist | 280 State Route 299, Suite #2, Highland, NY 12528 | 2008-06-02 |
| 1780758870 | Michele Kee Goldman | Nurse Practitioner | 514 Route 299, Highland, NY 12528 | 2006-11-20 |
| 1023192770 | Tami L Pucino | Nurse Practitioner | 3548 Us Highway 9w, Highland, NY 12528 | 2006-10-25 |
| Find all providers in zip 12528 | ||||
| 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 |
|---|---|---|---|---|
| 1710444740 | Highcare Pharmacy Inc | Pharmacy | 9030 Cline Ave Ste B, Highland, IN 46322-2204 | 2019-02-26 |
| 1891141123 | Highland Care Pharmacy Inc | Pharmacy | 2727 Highway Ave Ste B, Highland, IN 46322-1615 | 2016-05-05 |
| 1598121519 | Vytos Pharmacy IIii Inc | Pharmacy | 3100 45th St Ste 1, Highland, IN 46322-3277 | 2016-01-06 |
| 1568883494 | Infectious Disease Specialists, P.C. | Pharmacy | 9143 Indianapolis Blvd Ste 102, Highland, IN 46322-2577 | 2013-12-19 |
| 1114973641 | American Partners Lp | Pharmacy | 10243 Indianapolis Blvd, Highland, IN 46322-3507 | 2006-05-26 |
| 1245676741 | Ridley's Family Markets, Inc | Pharmacy | 5353 W 11000 N, Highland, UT 84003-9403 | 2013-05-11 |
| 1871816363 | Vadalas | Pharmacy | 62 Vineyard Ave, Highland, NY 12528-1426 | 2010-03-11 |
| 1083701270 | Family Care Pharmacy, Inc | Pharmacy | 1108 Broadway, Highland, IL 62249 | 2006-10-07 |
| 1457445868 | Whitworth Drug Inc. | Pharmacy | 801 Broadway, Highland, IL 62249-1801 | 2006-10-03 |
| 1164407441 | Doctor's Pharmacy | Pharmacy | 2727 Highway Ave, Pharmacy, Highland, IN 46322-1615 | 2005-12-09 |
| Find all providers in HIGHLAND | ||||
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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.