WALGREEN CO. (NPI# 1225282833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225282833 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO. |
| Other Organization Name | WALGREENS #11190 |
| Practice Address |
24170 Us Highway 27 Lake Wales FL 33859-7801 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8636767569 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2018-05-08 |
| 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 | PH23989 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 1040409 | 01 | |
| FL | 000931400 | 05 | |
| FL | FL MEDICAID DME | 000931401 | 01 |
| Other Name | Type Code |
|---|---|
| Walgreens #11190 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457733222 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 418 Us Highway 22 W, Whitehouse Station, NJ 08889 | 2015-06-29 |
| 1215334651 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1 Eddie Dowling Hwy, North Smithfield, RI 02896-7305 | 2014-12-01 |
| 1093112708 | Walgreen Co. | Pharmacy | 500 Route 530, Whiting, NJ 08759 | 2014-11-24 |
| 1164821070 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 339 Matawan Rd, Matawan, NJ 07747-3901 | 2014-08-15 |
| 1306198973 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 447 Belmont Ave, Haledon, NJ 07508-1368 | 2012-10-08 |
| 1437423670 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 901 S Rancho Dr Ste 20, Las Vegas, NV 89106 | 2012-03-06 |
| 1396018883 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 115 N Euclid Ave Ste A, Saint Louis, MO 63108-1503 | 2012-02-15 |
| 1013280403 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 | 2012-02-15 |
| 1588936850 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 4101 Greenbriar Dr Ste 235, Houston, TX 77098 | 2012-02-02 |
| 1467724716 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 8490 Santa Monica Blvd Ste 1, West Hollywood, CA 90069-4261 | 2012-02-02 |
| 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 |
24170 US HIGHWAY 27 |
| City | LAKE WALES |
| State | FL |
| Zip Code | 33859-7801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720699598 | Navid Golab | Pharmacist | 24170 Us Highway 27, Lake Wales, FL 33859-7801 | 2020-08-13 |
| 1932480456 | Manish M Patel | Pharmacist | 24170 Us Highway 27, Lake Wales, FL 33859-7801 | 2011-08-30 |
| 1225358138 | Ala'a Yousif Hamdan | Pharmacist | 24170 Us Highway 27, Lake Wales, FL 33859-7801 | 2010-06-03 |
| 1013236140 | Cheryl A Nicolay | Pharmacist | 24170 Us Highway 27, Lake Wales, FL 33859-7801 | 2010-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740699982 | Pm Radiology P L | Radiology | 23607 Us Highway 27, Lake Wales, FL 33859 | 2014-08-12 |
| 1588990758 | Eye Specialists of Mid Florida, Pa | Ophthalmology | 2800 A Ridge Way, Suite 100, Lake Wales, FL 33859 | 2009-10-23 |
| 1841583929 | Marcus Anthony Jahna | Chiropractor | 23857 Hwy 27, Lake Wales, FL 33859-0000 | 2011-05-23 |
| 1114439866 | Michelle Lora Mendez | Early Intervention Provider Agency | 4360 Dinner Lake Blvd, Lake Wales, FL 33859-2129 | 2017-11-02 |
| 1245506013 | Barbara Louise Collette | Pharmacist | 217 Dinner Lake Loop, Lake Wales, Lake Wales, FL 33859-2153 | 2012-03-27 |
| 1558434852 | Yesenia Dejesus-suarez | Nurse Anesthetist, Certified Registered | 205 Dinner Lake Loop, Lake Wales, FL 33859-2153 | 2006-11-16 |
| 1164021176 | Dave Aaron Dangan | Physical Therapist | 1750 Longleaf Blvd Ste 5&6, Lake Wales, FL 33859-2504 | 2020-10-21 |
| 1144855933 | Sandra Collins Domanski | Physical Therapist | 1750 Longleaf Blvd # 5&6, Lake Wales, FL 33859-2504 | 2020-03-11 |
| 1437394541 | Central Florida Health Systems, Inc | Specialist | 2301 Longleaf Blvd Ste 200, Lake Wales, FL 33859-2542 | 2008-12-04 |
| 1639303688 | U.S. Home Health Care Services, Corp | Home Health | 14440 Us Highway 27, Lake Wales, FL 33859-2546 | 2009-05-06 |
| Find all providers in zip 33859 | ||||
| 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 |
|---|---|---|---|---|
| 1871940148 | Ops Pharmacy LLC | Pharmacy | 1110 Druid Cir Ste E, Suite E, Lake Wales, FL 33853-4307 | 2016-05-17 |
| 1497099055 | Giriraj LLC | Pharmacy | 1322 State Road 60 E, Lake Wales, FL 33853-4322 | 2012-11-20 |
| 1720093339 | Apothecary Shop | Pharmacy | 437 S 11th St, Lake Wales, FL 33853-4250 | 2006-07-30 |
| 1629502141 | Giririaj LLC | Pharmacy | 1322 State Road 60 E, Lake Wales, FL 33853-4322 | 2017-04-12 |
| 1699214809 | Ops Pharmacy LLC | Pharmacy | 1110 Druid Cir Ste E, Lake Wales, FL 33853-4307 | 2017-02-21 |
| 1003139577 | Aakash LLC | Pharmacy | 437 S 11th St, Lake Wales, FL 33853-4250 | 2010-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452974 | Curry Ford Pharmacy LLC | Pharmacy | 4538 Curry Ford Rd, Orlando, FL 32812-2711 | 2020-09-19 |
| 1225641525 | Englewood Pharmaceutical Services Inc | Pharmacy | 1720 S Mccall Rd Ste J, Englewood, FL 34223-4867 | 2020-08-26 |
| 1972115103 | Intellrx Consulting LLC | Pharmacy | 1257 The 12th Fairway, Wellington, FL 33414-5738 | 2020-08-19 |
| 1518577576 | Publix Super Markets, Inc | Pharmacy | 7340 Kathleen Rd, Lakeland, FL 33810-4495 | 2020-08-05 |
| 1962011890 | Green Star Pharmacy | Pharmacy | 2950 Winkler Ave Ste 701, Fort Myers, FL 33916-9322 | 2020-07-27 |
| 1356959134 | Cverx Pharmacy Corp | Pharmacy | 7360 Sw 24th St Ste 29, Miami, FL 33155-1462 | 2020-07-17 |
| 1447877287 | Jerry Voltaire | Pharmacy | 16470 Cedar Run Dr, Orlando, FL 32828-6970 | 2020-06-27 |
| 1598381980 | John Melvin Schemm IIi | Pharmacy | 7617 Bay Port Rd, Orlando, FL 32819-5504 | 2020-06-22 |
| 1891318267 | Empire Specialty Pharmacy LLC | Pharmacy | 749 S Apollo Blvd, Melbourne, FL 32901-1457 | 2020-05-20 |
| 1992334205 | Mypills Pharmacy LLC | Pharmacy | 303a E 1st St, Sanford, FL 32771-1377 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WALES |
| Zip Code | 33859 |
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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.