WALGREEN CO (NPI# 1255346292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255346292 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #05540 |
| Practice Address |
6905 S 36th St Bellevue NE 68147-1231 |
| Mailing Address |
1901 E Voorhees St Ms790 Danville IL 61834-4509 |
| Practice Telephone | 4027347592 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2016-08-24 |
| 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 | 1614 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1255346292 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2810489 | 01 | |
| IA | 1255346292 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #05540 | 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 |
6905 S 36TH ST |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68147-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811392863 | Melissa Bailey | Pharmacist | 6905 S 36th St, Bellevue, NE 68147-1231 | 2014-11-01 |
| 1194092676 | Thomas A Ourada | Pharmacist | 6905 S 36th St, Bellevue, NE 68147-1231 | 2011-11-28 |
| 1265718779 | Roxanne R Madsen | Pharmacist | 6905 S 36th St, Bellevue, NE 68147-1231 | 2011-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568970259 | Misty A Gasa | Clinic/Center | 7155 S 41st Ter, Bellevue, NE 68147-1056 | 2018-01-16 |
| 1205037579 | Antonio B Saqueton PC | Family Medicine | 4115 Harrison St, Omaha, NE 68147-1059 | 2007-05-31 |
| 1720029994 | Michelle L Armstrong | Chiropractor | 4105 Harrison St, Bellevue, NE 68147-1059 | 2006-06-09 |
| 1679007249 | South Side Convenient Care Inc | Physician Assistant | 4115 Harrison St, Bellevue, NE 68147-1059 | 2017-04-20 |
| 1912241506 | Samantha Senanayaka | Physician Assistant | 4115 Harrison St, Bellevue, NE 68147-1059 | 2012-11-20 |
| 1093810921 | Christoph P. Foix | Dentist | 4028 Harrison Plz, Bellevue, NE 68147-1090 | 2006-09-14 |
| 1720211592 | Chris Foix Dds PC | Dentist | 4028 Harrison Plz, Omaha, NE 68147-1090 | 2009-08-27 |
| 1861562522 | Marvin B Dvorak | Dentist | 4028 Harrison Plz, Omaha, NE 68147-1090 | 2006-11-09 |
| 1497298269 | Dakila Marcelino | Speech-Language Pathologist | 3705 Chandler Rd W, Bellevue, NE 68147-1123 | 2016-11-29 |
| 1548743602 | Debra Fahrer | Registered Nurse | 3705 Chandler Rd W, Bellevue, NE 68147-1123 | 2018-09-13 |
| Find all providers in zip 68147 | ||||
| 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 |
|---|---|---|---|---|
| 1033755731 | Scriptdash Inc | Pharmacy | 13010 Ne 20th St Ste 200, Bellevue, WA 98005-2034 | 2019-11-18 |
| 1386962298 | The Bartell Drug Co | Pharmacy | 11919 Ne 8th St, Bellevue, WA 98005-3023 | 2010-05-17 |
| 1194043018 | The Bartell Drug Co | Pharmacy | 3620 Factoria Blvd Se, Bellevue, WA 98006-6128 | 2010-05-17 |
| 1134252976 | Thu-thao Thi Le | Pharmacy | 120 106th Ave Ne, Bellevue, WA 98004-5910 | 2007-03-13 |
| 1588707996 | No Frills Pharmacy LLC | Pharmacy | 909 Fort Crook Rd N, Bellevue, NE 68005-4335 | 2007-02-15 |
| 1164568788 | Newport Hills Drug Inc. | Pharmacy | 5620 119th Ave Se, Bellevue, WA 98006-3738 | 2007-01-30 |
| 1518035310 | Lzk Inc | Pharmacy | 612 Lincoln Ave, Bellevue, PA 15202-3406 | 2006-12-01 |
| 1750396107 | Counsel Rx Inc. | Pharmacy | 234 W Main St, Bellevue, OH 44811-1330 | 2006-07-31 |
| 1285649889 | Bhms Inc | Pharmacy | 234 W Main St Ste B, Bellevue, OH 44811-1330 | 2006-07-30 |
| 1407871049 | Fred Meyer Stores Inc | Pharmacy | 2636 Bellevue Way Ne, Bellevue, WA 98004 | 2006-07-13 |
| Find all providers in BELLEVUE | ||||
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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.