WALGREEN CO (NPI# 1336375252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336375252 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #15791 |
| Practice Address |
1601 Main St Little Rock AR 72206-1433 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 5013719229 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2019-03-27 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR20009 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 178663716 | 05 | |
| AR | 177929407 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0423169 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #15791 | 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 |
1601 MAIN ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72206-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639722705 | Kevin Chien | Pharmacist | 1601 Main St, Little Rock, AR 72206-1433 | 2019-07-18 |
| 1972085975 | Kelly Mcqueen Newton | Pharmacist | 1601 Main St, Little Rock, AR 72206-1433 | 2018-09-05 |
| 1508380379 | Morgan Raeann Brian | Pharmacist | 1601 Main St, Little Rock, AR 72206-1433 | 2017-08-02 |
| 1942683537 | Tiffany Isaacs | Pharmacist | 1601 Main St, Little Rock, AR 72206-1433 | 2015-07-01 |
| 1679989206 | Teddi Kueter | Pharmacist | 1601 Main St, Little Rock, AR 72206-1433 | 2014-07-02 |
| 1982043592 | Dawn D Fincher | Pharmacist | 1601 Main St, Little Rock, AR 72206-1433 | 2013-06-17 |
| 1497097430 | Jerry Allen Redding | Pharmacist | 1601 Main St, Little Rock, AR 72206-1433 | 2013-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851944698 | Rachael Lynette Perkins | Pharmacist | 4301 Atwood Rd, Little Rock, AR 72206 | 2019-07-22 |
| 1669826954 | Caeb Investments Inc. | Pharmacy | 11200 Arch Street, Little Rock, AR 72206 | 2016-04-22 |
| 1871991158 | Jill Ashley | Case Manager/Care Coordinator | 19825 Jones Rd, Little Rock, AR 72206 | 2014-12-18 |
| 1568718930 | Matthew Reel | Social Worker | 2100 South Gaines St., Little Rock, AR 72206 | 2012-08-03 |
| 1255616363 | Heidi C Tramel | Pharmacist | 1100 E Roosevelt Rd (kroger Pharmacy), Little Rock, AR 72206 | 2011-10-20 |
| 1518289198 | Casey Renae Tisdale | Speech-Language Pathologist | 1616 S. Spring St., Little Rock, AR 72206 | 2010-02-23 |
| 1578713277 | Robert Earl Pruitt Jr. | Social Worker | 2200 Fort Root Dr., North Little Rock, AR 72206 | 2008-09-30 |
| 1063634285 | The Arc Arkansas | Day Training, Developmentally Disabled Services | 2004 S. Main Street, Little Rock, AR 72206 | 2007-05-03 |
| 1942352596 | Tomie Mccall Jr. | Dentist | 721 East 21st Street, Little Rock, AR 72206 | 2007-01-16 |
| 1366530883 | Central Arkansas Veterans Healthcare System | Chronic Disease Hospital | 1321 West Charles Bussey Ave., Little Rock, AR 72206 | 2006-10-10 |
| Find all providers in zip 72206 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978157 | Sc Pharmacy Group Opco LLC | Pharmacy | 1800 Riverfront Dr Ste 100, Little Rock, AR 72202-1882 | 2020-06-29 |
| 1972023240 | Medicine Man Pharmacy - Little Rock, Inc | Pharmacy | 400 N Bowman Rd Ste 31, Little Rock, AR 72211-2733 | 2017-06-27 |
| 1285167502 | Nw Otter Creek LLC | Pharmacy | 10100 Stagecoach Rd, Little Rock, AR 72210-5742 | 2017-04-04 |
| 1619374360 | Cjn Pharmacy Services LLC | Pharmacy | 400 N Bowman Rd Ste 19, Little Rock, AR 72211-2733 | 2014-11-24 |
| 1063834380 | Pharmacy of Otter Creek | Pharmacy | 10506 Stagecoach Rd Ste F, Little Rock, AR 72210-8939 | 2014-01-07 |
| 1366706244 | Allcare Specialty Pharmacy LLC | Pharmacy | 10620 Colonel Glenn Rd Ste 300, Little Rock, AR 72204-8048 | 2012-06-26 |
| 1548575814 | Arkansas Cvs Pharmacy LLC | Pharmacy | 420 S University Ave, Little Rock, AR 72205-5246 | 2010-08-11 |
| 1760629984 | Stagecoach Pharmacy LLC | Pharmacy | 1 Stagecoach Vlg, Ste 2, Little Rock, AR 72210-4750 | 2009-01-09 |
| 1174671176 | Supermarket Investors Inc | Pharmacy | 1701 Main St, Little Rock, AR 72206-1471 | 2007-01-08 |
| 1700934700 | Supermarket Investors Inc | Pharmacy | 2510 Cantrell Rd, Little Rock, AR 72202-2116 | 2007-01-08 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72206 |
Please comment or provide details below to improve the information on WALGREEN CO.
| 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.