WALGREEN CO (NPI# 1184639114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184639114 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #05873 |
| Practice Address |
17811 E Us Highway 24 Independence MO 64056-1164 |
| Mailing Address |
1901 E Voorhees St Ms790 Danville IL 61834-4509 |
| Practice Telephone | 8162575202 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-05-11 |
| 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 | 2001014018 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2633837 | 01 | |
| MO | 605309400 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #05873 | 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 |
17811 E US HIGHWAY 24 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64056-1164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518376748 | Brendon Magruder | Pharmacist | 17811 E Us Highway 24, Independence, MO 64056-1164 | 2014-08-13 |
| 1689941841 | Lochna Patel | Pharmacist | 17811 E Us Highway 24, Independence, MO 64056-1164 | 2011-11-16 |
| 1467734418 | Samantha Marie Scogn | Pharmacist | 17811 E Us Highway 24, Independence, MO 64056-1164 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490246 | Laurie Beth Clark | Nurse Practitioner | 17009 E Cheyenne Dr, Independence, MO 64056 | 2019-11-05 |
| 1376055004 | Jenny Vivian Wilson | Registered Nurse | 17301 East 24 Hwy, Independence, MO 64056 | 2017-11-03 |
| 1336423623 | Susann Nance | Pharmacist | 17811 E 24 Hwy, Independence, MO 64056 | 2011-10-05 |
| 1942303409 | Patrick J Morris | Dentist | 613 Se 5th St, Lees Summit, MO 64056 | 2006-09-07 |
| 1487147401 | Stephanie Scott | Nurse Practitioner | 17301 E Us Highway 24, Independence, MO 64056 | 2018-06-13 |
| 1457505950 | Edwin M. Myers, D.d.s., P.C. | Clinic/Center | 18110 E Us Highway 24, Ste. A, Independence, MO 64056-1170 | 2008-11-11 |
| 1679546154 | Edwin M Myers | Dentist | 18110 E 24 Hwy, Independence, MO 64056-1170 | 2006-02-07 |
| 1528585700 | Anna R. Jones, Dds, LLC | Clinic/Center | 18110 E Us Highway 24, Independence, MO 64056-1170 | 2017-08-28 |
| 1790716991 | Rebecca Ann Titus | Nurse Practitioner | 19209 E 13th St N, Independence, MO 64056-1237 | 2006-07-05 |
| 1972825149 | Gary William Burgess | Pharmacist | 16200 E Us Highway 24, Independence, MO 64056-1521 | 2010-02-15 |
| Find all providers in zip 64056 | ||||
| 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 |
|---|---|---|---|---|
| 1790918639 | B Y Enterprises Inc | Pharmacy | 19321 E Us Highway 40 Ste P, Independence, MO 64055-5486 | 2009-08-26 |
| 1902958531 | Auburn Pharmacy, Inc. | Pharmacy | 16611 E 23rd St S, Independence, MO 64055-1922 | 2007-01-16 |
| 1265506786 | Lamp Food Stores Inc | Pharmacy | 2301 S Sterling Ave, Independence, MO 64052-3666 | 2006-11-17 |
| 1114000296 | Pauls Pharmacy Inc | Pharmacy | 345 W Railroad Ave, Independence, LA 70443-2292 | 2006-10-23 |
| 1285724336 | Petes Family Pharmacy LLC | Pharmacy | 539 W Railroad Ave, Independence, LA 70443 | 2006-10-12 |
| 1982615498 | Robcin Enterprises Inc | Pharmacy | 11724 E 23rd St S, Independence, MO 64050-4204 | 2006-08-10 |
| 1225074610 | Discount Drug Mart Inc | Pharmacy | 6160 Brecksville Rd, Independence, OH 44131-1504 | 2006-06-22 |
| 1073589032 | Guyll Pharmacy Inc | Pharmacy | 400 N Penn Ave, Independence, KS 67301-3012 | 2006-02-28 |
| 1013062090 | Ivna Medical Group LLC | Pharmacy | 4811 S Arrowhead Dr, Independence, MO 64055-6981 | 2007-01-23 |
| 1184721011 | Woodys Pharmacy Inc | Pharmacy | 576 E Main St, Independence, VA 24348-3879 | 2006-09-20 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64056 |
Please comment or provide details below to improve the information on WALGREEN CO.
| 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.