WALGREEN CO


Address: 1213 Palm Bay Rd, Melbourne, FL 32905-3781
Phone: 3216764602

WALGREEN CO (NPI# 1336156314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336156314
Entity Type Organization
Organization Name WALGREEN CO
Other Organization Name WALGREENS #5018
Practice Address 1213 Palm Bay Rd
Melbourne
FL 32905-3781
Mailing Address 1901 E Voorhees St
Ms 790
Danville
IL 61834-4509
Practice Telephone 3216764602
Mailing Telephone 2177092386
Mailing Fax Number 2177092344
Enumeration Date 2006-08-02
Last Update Date 2018-05-07
Authorized Official Name ALYSSA SWEETEN (MANAGER)
Authorized Official Telephone 2177092386
Is Organization Subpart Y
Parent Organization Name WALGREENS BOOTS ALLIANCE INC

Taxonomy

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 PH0008861 FL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 1049724 01
FL 101515002 DME 05
FL 101515000 05

Other Provider/Organization Names

Other Name Type Code
WALGREENS #5018 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 1213 PALM BAY RD
City MELBOURNE
State FL
Zip Code 32905-3781

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285246314 Denique Reddie Pharmacist 1213 Palm Bay Rd, Melbourne, FL 32905-3781 2020-08-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306460928 Lavell Woodard Jr. Counselor 4206 Pinewood Dr Ne, Palm Bay, FL 32905 2020-05-29
1548735699 Aaron J Milton Counselor 1420 Sportsman Lane Ne, Palm Bay, FL 32905 2018-10-04
1871070417 The Brevard Health Alliance Inc Clinic/Center 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 2018-07-26
1699266361 Coastal Visioncare LLC Optometrist 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 2018-05-29
1184173981 Jean Elyse Gautreaux Social Worker 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 2016-09-22
1174901607 Reginald Shannon Seecharan Developmental Therapist 700 James Cir Ne, Palm Bay, FL 32905 2015-05-17
1881091254 Courtney Taft Physical Therapy Assistant 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 2014-12-01
1548513310 Juda Marie Decara Counselor 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 2012-10-18
1326308313 Mohammad Idrees Md, P.a. Internal Medicine 1454 Belaire Lane N.e., Palm Bay, FL 32905 2012-05-23
1265704548 Atm Amin Dds LLC Dentist 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 2012-02-02
Find all providers in zip 32905

Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891318267 Empire Specialty Pharmacy LLC Pharmacy 749 S Apollo Blvd, Melbourne, FL 32901-1457 2020-05-20
1477051217 Atlantic Ph LLC Pharmacy 1525 S Wickham Rd, Melbourne, FL 32904-3540 2018-01-26
1871959296 Dragonfly Botanica LLC Pharmacy 6450 N Wickham Rd, 102, Melbourne, FL 32940-2036 2016-01-14
1528432028 Harbor City Pharmacy Inc Pharmacy 503 Harbor City Blvd., Melbourne, FL 32935 2015-11-20
1700281672 Florida Health Care Plan Inc Pharmacy 785 N Wickham Rd Ste 104, Melbourne, FL 32935-8857 2014-11-04
1265835938 Holmes Regional Medical Center Inc Pharmacy 8725 N Wickham Rd Ste 102, Melbourne, FL 32940-2240 2014-10-08
1275878738 Thrifty Discount Pharmacy LLC Pharmacy 32 W New Haven Ave, Melbourne, FL 32901-4406 2012-12-10
1306951330 Sarno Pharmacy LLC Pharmacy 2176 Sarno Road Suite 120, Melbourne, FL 32935 2006-08-20
1821033572 Pacifico National II Inc Pharmacy 2275 S Babcock St, Melbourne, FL 32901 2006-06-17
1457390320 Publix Super Markets Inc Pharmacy 3200 Lake Washington Rd, Melbourne, FL 32934-7620 2006-06-06
Find all providers in MELBOURNE

Competitor

Search similar providers

City MELBOURNE
Zip Code 32905

Improve Information

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Dataset Information

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.

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