WALGREEN CO (NPI# 1235655200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235655200 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17504 |
| Practice Address |
164 Holden Rd Mount Gay WV 25637-1251 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 3042392020 |
| Practice Fax Number | 3042393468 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2019-11-01 |
| 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 | Suppliers |
| Other Name | Type Code |
|---|---|
| Rite Aid | Doing Business As Name - Organization |
| Walgreens #17504 | 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 |
164 HOLDEN RD |
| City | MOUNT GAY |
| State | WV |
| Zip Code | 25637-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932545647 | Daniel Ryan Mullins | Pharmacist | 164 Holden Rd, Mount Gay, WV 25637 | 2013-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978536 | Eric Lloyd | Pharmacist | 360 Mount Gay Road, Mount Gay, WV 25637 | 2020-09-24 |
| 1649880162 | Regina A England | Technician | 15 Amanda Lane, Mount Gay, WV 25637 | 2020-08-10 |
| 1376153999 | Kristin L Caudill | Technician | 107 Heartstrings Ave, Mount Gay, WV 25637 | 2020-08-07 |
| 1194289934 | Bp6 LLC | Pharmacy | 360 Mount Gay Rd, Mount Gay, WV 25637 | 2019-01-25 |
| 1275018798 | Robertson Pharmacy, LLC | Pharmacy | 360 Mt. Gay Road, Mt. Gay, WV 25637 | 2018-10-01 |
| 1467756486 | Olivia Grantham | Pharmacist | Us Rt 119 Holden Rd, Mount Gay, WV 25637 | 2011-01-05 |
| 1134368921 | Dana Weekley | Pharmacist | Us Rt 119 Holden Road, Mt. Gay, WV 25637 | 2009-02-18 |
| 1437224367 | Earl Claycomb | Pharmacist | Old Route 119, Mount Gay, WV 25637 | 2006-11-24 |
| 1609985944 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 164 Holden Road, Mount Gay, WV 25637 | 2006-08-30 |
| 1871144899 | Siddarthan Ilangovan | Pharmacist | 360 Mount Gay Rd, Bypass Pharmacy # 6, Mount Gay, WV 25637 | 2019-09-20 |
| Find all providers in zip 25637 | ||||
| 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 |
|---|---|---|---|---|
| 1194289934 | Bp6 LLC | Pharmacy | 360 Mount Gay Rd, Mount Gay, WV 25637 | 2019-01-25 |
| 1184628117 | Family Discount Pharmacy Inc | Pharmacy | Old Rt 119, Mount Gay, WV 25637-1247 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601592 | Ashton Blake Sparks | Pharmacy | 21 Pyramid Dr Apt 620, Huntington, WV 25705-3269 | 2020-08-24 |
| 1609418268 | Winfield Family Pharmacy | Pharmacy | 12044 Winfield Road, Winfield, WV 25213 | 2019-10-15 |
| 1295382083 | Shelby Paige Humphrey | Pharmacy | Marshall School of Pharmacy One John Marshall Drive, Huntington, WV 25755-0001 | 2019-08-26 |
| 1316424948 | Team J & J Corp | Pharmacy | 48 1/2 W. 2nd Ave, Williamson, WV 25661 | 2018-07-26 |
| 1053825711 | Genoa Healthcare, LLC | Pharmacy | 101 S Eisenhower Dr Ste P, Beckley, WV 25801-4929 | 2017-11-16 |
| 1336661834 | Rainelle Medical Center, Inc. | Pharmacy | 390 Industrial Park Rd, Maxwelton, WV 24957-8073 | 2017-07-17 |
| 1447783931 | Pharmacole Inc | Pharmacy | 13030 Shortline Hwy, Pine Grove, WV 26419-8291 | 2017-04-11 |
| 1033564893 | New Trail Clinical Pharmacy Solutions | Pharmacy | 521 Jesse James Dr, Rock, WV 24747-9779 | 2016-04-29 |
| 1386005148 | New River Health Association, Inc | Pharmacy | 217 W Maple Ave, Fayetteville, WV 25840-1413 | 2016-03-08 |
| 1700253861 | Bp4 LLC | Pharmacy | 5151 Maccorkle Ave Sw, South Charleston, WV 25309-1109 | 2015-08-25 |
| Find all providers with the same taxonomy | ||||
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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.