WALGREEN CO (NPI# 1316482078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316482078 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #15010 |
| Practice Address |
810 Springfield Ave Irvington NJ 07111 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8622361348 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2019-12-06 |
| 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 | 28RS00757500 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NCPDP | 3152648 | 01 |
| NJ | 0586676 | 05 |
| Other Name | Type Code |
|---|---|
| Walgreens #15010 | 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 |
810 SPRINGFIELD AVE |
| City | IRVINGTON |
| State | NJ |
| Zip Code | 07111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548871163 | Le Choix Home Care LLC | Home Health | 1395-1399 Clinton Ave, Irvington, NJ 07111 | 2020-08-17 |
| 1528532447 | All America Medical Day Care | Custodial Care Facility | 141 Coit St, Irvington, NJ 07111 | 2019-01-14 |
| 1548737240 | Irvington Adult Day Care Center | Clinic/Center | 62-70 Howard Street, Irvington, NJ 07111 | 2018-10-31 |
| 1245754084 | Soul House Cruber Wellness Center | Counselor | 1144 Clinton Avenue, Irvington, NJ 07111 | 2017-08-02 |
| 1689194094 | Anthony Ijehsedeh | Nurse Practitioner | 12 Krotik Place, Irvington, NJ 07111 | 2017-06-27 |
| 1467993246 | Sia Kendema | Respite Care | 102 Paine Avenue, Irvington, NJ 07111 | 2017-03-14 |
| 1679023915 | Lyons Pharmacy | Pharmacy | 471 Lyons Ave #79, Irvington, NJ 07111 | 2016-10-11 |
| 1952759276 | Sabreehouse | Community/Behavioral Health | 74 Welland Avenue, Irvington, NJ 07111 | 2016-05-26 |
| 1447624184 | Marius Nzo Yonkeu | Pharmacist | 19 Bruen Ave Apt C1, Irvington, NJ 07111 | 2015-11-18 |
| 1801265251 | Jerrilynn Mccray | Case Management | 12 Momm Court, Irvington, NJ 07111 | 2015-09-16 |
| Find all providers in zip 07111 | ||||
| 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 |
|---|---|---|---|---|
| 1225574742 | Wellness Plus LLC | Pharmacy | 1076 Springfield Ave, Unit 1, Irvington, NJ 07111-2467 | 2017-01-08 |
| 1679023915 | Lyons Pharmacy | Pharmacy | 471 Lyons Ave #79, Irvington, NJ 07111 | 2016-10-11 |
| 1174805774 | Chancellor Pharmacy | Pharmacy | 894 Chancellor Ave, Irvington, NJ 07111-1214 | 2011-09-09 |
| 1629304183 | Bayou Pharmacy LLC | Pharmacy | 12855 Padgett Switch Rd, Irvington, AL 36544-4015 | 2009-10-19 |
| 1609915487 | Premier Health Services | Pharmacy | 1238 Springfeild Ave, Irvington, NJ 07111 | 2007-02-06 |
| 1043384563 | Kings Choice Pharmacy Inc | Pharmacy | 854 Stuyvesant Ave, Irvington, NJ 07111-1800 | 2006-11-17 |
| 1891721486 | Save Rite Drugs Inc | Pharmacy | 14020 E Highway 60, Irvington, KY 40146-7166 | 2006-06-24 |
| 1063487478 | Maple Gardens Pharmacy | Pharmacy | 3 Marshall St, Irvington, NJ 07111-3622 | 2006-02-20 |
| 1073150116 | Shayanam LLC | Pharmacy | 471 Lyons Ave #79, Irvington, NJ 07111 | 2019-12-09 |
| 1497852321 | Nnb Inc | Pharmacy | 50 Union Ave, Irvington, NJ 07111-3262 | 2006-09-20 |
| Find all providers in IRVINGTON | ||||
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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.