WALGREEN LOUISIANA CO INC (NPI# 1225043490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225043490 |
| Entity Type | Organization |
| Organization Name | WALGREEN LOUISIANA CO INC |
| Other Organization Name | WALGREENS #04998 |
| Practice Address |
9209 Mansfield Rd Shreveport LA 71118-3152 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 3186710271 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-11-24 |
| 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 | 4176RC | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1266892 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1928590 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04998 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427064997 | Walgreen Louisiana Co Inc | Pharmacy | 3227 Magazine St, New Orleans, LA 70115-2320 | 2006-08-01 |
| 1518973080 | Walgreen Louisiana Co Inc | Durable Medical Equipment & Medical Supplies | 1556 Lapalco Blvd, Harvey, LA 70058-3304 | 2006-08-01 |
| 1629084017 | Walgreen Louisiana Co Inc | Durable Medical Equipment & Medical Supplies | 2636 Ryan St, Lake Charles, LA 70601-7326 | 2006-07-31 |
| 1932114196 | Walgreen Louisiana Co Inc | Durable Medical Equipment & Medical Supplies | 900 Canal St, New Orleans, LA 70112-2504 | 2006-07-29 |
| 1871508036 | Walgreen Louisiana Co Inc | Durable Medical Equipment & Medical Supplies | 1260 Front St, Slidell, LA 70458-2054 | 2006-07-29 |
| 1306851563 | Walgreen Louisiana Co Inc | Pharmacy | 5450 Plank Rd, Baton Rouge, LA 70805-2733 | 2006-07-29 |
| 1760497929 | Walgreen Louisiana Co Inc | Durable Medical Equipment & Medical Supplies | 1826 N Broad St, New Orleans, LA 70119-2340 | 2006-07-29 |
| 1205841467 | Walgreen Louisiana Co Inc | Durable Medical Equipment & Medical Supplies | 195 N Canal Blvd, Thibodaux, LA 70301-2995 | 2006-07-29 |
| 1407861677 | Walgreen Louisiana Co Inc | Pharmacy | 2700 Johnston St, Lafayette, LA 70503-3242 | 2006-07-29 |
| 1023023280 | Walgreen Louisiana Co Inc | Durable Medical Equipment & Medical Supplies | 100 N Military Rd, Slidell, LA 70461-4197 | 2006-07-29 |
| Street Address |
9209 MANSFIELD RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118-3152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789241 | Kelsey Latalya Taylor | Pharmacist | 9209 Mansfield Rd, Shreveport, LA 71118-3152 | 2020-08-07 |
| 1134771769 | Tigris R Haran | Pharmacist | 9209 Mansfield Rd, Shreveport, LA 71118-3152 | 2019-07-13 |
| 1992264329 | Reshauna M Gray | Pharmacist | 9209 Mansfield Rd, Shreveport, LA 71118-3152 | 2019-03-15 |
| 1518436872 | Myhien Thi Nguyen | Pharmacist | 9209 Mansfield Rd, Shreveport, LA 71118-3152 | 2018-11-15 |
| 1457829756 | Cornelia Greene | Pharmacist | 9209 Mansfield Rd, Shreveport, LA 71118-3152 | 2018-11-05 |
| 1740725332 | Keesha Dinkins | Pharmacist | 9209 Mansfield Rd, Shreveport, LA 71118-3152 | 2017-01-05 |
| 1144686932 | Kyle Chestnas | Pharmacist | 9209 Mansfield Rd, Shreveport, LA 71118-3152 | 2016-01-08 |
| 1902262256 | Ryan William Himes | Pharmacist | 9209 Mansfield Rd, Shreveport, LA 71118-3152 | 2015-12-31 |
| 1952772071 | Kaitlyn Plummer | Pharmacist | 9209 Mansfield Rd, Shreveport, LA 71118-3152 | 2015-10-15 |
| 1720463623 | Taronique Morris | Pharmacist | 9209 Mansfield Rd, Shreveport, LA 71118-3152 | 2015-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
| 1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
| 1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
| 1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
| 1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
| 1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
| 1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
| 1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
| 1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
| 1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
| Find all providers in zip 71118 | ||||
| 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 |
|---|---|---|---|---|
| 1588036552 | Brfhh Shreveport LLC | Pharmacy | 1541 Kings Hwy Rm Eg-10, Shreveport, LA 71103-4228 | 2015-10-29 |
| 1982962890 | Jewella Avenue Pharmacy | Pharmacy | 3610 Jewella Ave, Suite B, Shreveport, LA 71109-4700 | 2012-04-27 |
| 1265675029 | Martin Luther King Health Center | Pharmacy | 1233 Sprague St., Shreveport, LA 71101 | 2009-04-09 |
| 1134272644 | Pill Box Pharmacy Incorporated | Pharmacy | 1849 Line Ave, Shreveport, LA 71101-4611 | 2007-01-19 |
| 1114090446 | Brookshire Grocery Company | Pharmacy | 388 Bert Kouns Loop, Attention Pharmacy Dept, Shreveport, LA 71106-8123 | 2006-11-16 |
| 1952474421 | Brookshire Grocery Company | Pharmacy | 3620 Pines Rd, Attention Pharmacy Dept, Shreveport, LA 71119-5206 | 2006-11-15 |
| 1861565335 | Brookshire Grocery Company | Pharmacy | 510 Kings Hwy, Attention Pharmacy Dept, Shreveport, LA 71104-4444 | 2006-11-15 |
| 1316010887 | Brookshire Grocery Company | Pharmacy | 5828 Line Ave, Attention Pharmacy Dept, Shreveport, LA 71106-1532 | 2006-11-15 |
| 1225101793 | Brookshire Grocery Company | Pharmacy | 3000 N Market St, Attention Pharmacy Dept, Shreveport, LA 71107-4062 | 2006-11-15 |
| 1780757252 | Brookshire Grocery Company | Pharmacy | 2640 Waggoner Ave, Attention Pharmacy Dept, Shreveport, LA 71108-3859 | 2006-11-15 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71118 |
Please comment or provide details below to improve the information on WALGREEN LOUISIANA CO INC.
| 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.