WALGREEN CO (NPI# 1255854584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255854584 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17241 |
| Practice Address |
204 Park Ave Carrollton KY 41008-9513 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2177092386 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2020-03-27 |
| Authorized Official Name | KIRA TAYLOR (MANAGER) |
| Authorized Official Telephone | 2177092351 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100507770 | 05 | |
| KY | BOARD OF PHARMACY | PO7974 | 01 |
| Other Name | Type Code |
|---|---|
| Rite Aid #17241 | Doing Business As Name - Organization |
| Walgreens #17241 | 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 |
204 PARK AVE |
| City | CARROLLTON |
| State | KY |
| Zip Code | 41008-9513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073805206 | Michael J Gruber | Pharmacist | 204 Park Ave, Carrollton, KY 41008-9513 | 2011-05-05 |
| 1871105379 | Andrew Ryan Garrett | Pharmacist | 204 Park Ave, Carrollton, KY 41008-9513 | 2020-08-18 |
| 1073910675 | Andrew Kilby | Pharmacist | 204 Park Ave, Carrollton, KY 41008-9513 | 2014-11-25 |
| 1568895878 | James Corey Stark | Pharmacist | 204 Park Ave, Rite Aid Pharmacy, Carrollton, KY 41008-9513 | 2013-08-11 |
| 1235422965 | Jennifer Holsclaw | Pharmacist | 204 Park Ave, Carrollton, KY 41008-9513 | 2011-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790233039 | Brett T Gibson | Chiropractor | 2519 Hwy 227 Unit D, Carrollton, KY 41008 | 2016-09-15 |
| 1326382136 | Carroll County Board of Education | Local Education Agency (LEA) | 813 Hawkins St, Carrollton, KY 41008 | 2012-11-16 |
| 1114229234 | Sy Dan Nguyen, Psc | Dentist | 2551 Us Highway 27, Carrollton, KY 41008 | 2010-11-22 |
| 1447300660 | Webster Drugs, Inc. | Pharmacist | Parklane Shopping Center, Carrollton, KY 41008 | 2007-01-11 |
| 1629139522 | Carroll County Medical Advisors Lp | General Acute Care Hospital | 309 11th Street, Carrollton, KY 41008 | 2006-12-13 |
| 1912073719 | Philip V Habas Dmd Psc | Dentist | 1209 Highland Ave, Suite L, Carrollton, KY 41008 | 2006-11-27 |
| 1447320353 | Carrollton Medical Associates | Internal Medicine | 307 Eleventh Street, Carrollton, KY 41008 | 2006-11-08 |
| 1922187475 | Carrollton Surgical Associates LLC | Surgery | 309 Eleventh Street, Carrollton, KY 41008 | 2006-11-03 |
| 1194818609 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Durable Medical Equipment & Medical Supplies | 205 Marwill Dr, Carrollton, KY 41008 | 2006-10-02 |
| 1093819427 | John Thornton Newcomb | Dentist | 1714 Highland Ave., Carrollton, KY 41008 | 2006-09-07 |
| Find all providers in zip 41008 | ||||
| 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 |
|---|---|---|---|---|
| 1902307424 | Sasha Ramik LLC | Pharmacy | 3044 Old Denton Rd Ste 305, Carrollton, TX 75007-5017 | 2018-02-21 |
| 1467727909 | Institutional Pharmacy Solutions LLC | Pharmacy | 2225 W Parker Drive, Carrollton, TX 75007 | 2012-03-16 |
| 1437435179 | Smile Pharmaceutical Inc | Pharmacy | 2625 Old Denton Rd Ste 586, Carrollton, TX 75007-5110 | 2011-10-26 |
| 1184876831 | Carrollton Drugs Inc | Pharmacy | 25700 Highway 17, Carrollton, AL 35447-3246 | 2008-10-14 |
| 1750457925 | Carrollton Pharmacy Inc | Pharmacy | 105 Clinic Ave, Carrollton, GA 30117-4413 | 2006-11-28 |
| 1245323609 | Southern Family Markets LLC | Pharmacy | 505 Bankhead Hwy, Carrollton, GA 30117-2446 | 2006-09-30 |
| 1063448314 | Discount Drug Mart Inc | Pharmacy | 592 12th St Nw, Carrollton, OH 44615-9413 | 2006-06-25 |
| 1104865989 | Albertsons LLC | Pharmacy | 2661 Midway Rd, Carrollton, TX 75006-2359 | 2006-06-06 |
| 1396198818 | Platz Enterprises Inc. | Pharmacy | 1409 N Jefferson St, Carrollton, MO 64633-1945 | 2016-07-20 |
| 1902822232 | Briar Hill Foods | Pharmacy | 501 W Main St, Carrollton, OH 44615-1029 | 2006-07-13 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 41008 |
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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.