WALGREEN CO (NPI# 1356356315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356356315 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #03871 |
| Practice Address |
1701 N Green Valley Pkwy Henderson NV 89074-5885 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7028975884 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-10-20 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PH1080 | NV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 2802127 | 05 | |
| NV | DME | 3302127 | 01 |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2905858 | 01 | |
| LA | 1211915 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #03871 | 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 |
1701 N GREEN VALLEY PKWY |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-5885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508841800 | Robert A Gatlin | Obstetrics & Gynecology | 1701 N Green Valley Pkwy, Bld 3 Suite B, Henderson, NV 89074-5885 | 2005-12-08 |
| 1134733934 | Reneta Ngha | Pharmacist | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2020-08-31 |
| 1497366439 | James Paul Avila | Pharmacist | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2020-08-13 |
| 1104434513 | Vinh Thi Nguyen | Obstetrics & Gynecology | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2020-07-22 |
| 1861048720 | Julie West | Technician | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2019-08-15 |
| 1063067585 | Hannah Thomas | Technician | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2019-08-02 |
| 1215582721 | Aubre Adoree | Technician | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2019-08-02 |
| 1174003222 | Veronica Valentine | Technician | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2018-08-17 |
| 1003367830 | Arnel Sulit | Physical Therapist | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2016-10-17 |
| 1033664818 | New Century Rehabilitation, LLC | Physical Therapist | 1701 N Green Valley Pkwy, Bldg. 8, Ste. B, Henderson, NV 89074-5885 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| 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 |
|---|---|---|---|---|
| 1699136309 | Mdrx, LLC | Pharmacy | 118 Corporate Park Dr Ste 105, Henderson, NV 89074-8772 | 2016-03-09 |
| 1134541691 | Wellness Pharmacy LLC | Pharmacy | 80 N Pecos Rd Ste I, Henderson, NV 89074-3379 | 2014-01-17 |
| 1912042201 | Fvs Holdings Inc | Pharmacy | 3041 W Horizon Ridge Pkwy, Ste 100, Henderson, NV 89052-3948 | 2007-02-21 |
| 1184713877 | City Drug Store Inc | Pharmacy | 226 North Ave, Henderson, TN 38340-1816 | 2006-10-12 |
| 1235222662 | Southside Drug Company Inc | Pharmacy | 1005 Nicholas St, Henderson, NC 27536-4945 | 2006-09-30 |
| 1568562908 | Brookshire Brothers Ltd | Pharmacy | 508 S Vanburen, Henderson, TX 75652 | 2006-09-25 |
| 1740291251 | Barrys Pharmacy Inc | Pharmacy | 700 N Green St, Henderson, KY 42420-2951 | 2006-08-10 |
| 1982619573 | Cedar Pharmacy | Pharmacy | 8955 S Pecos Rd Ste 1b, Henderson, NV 89074-7157 | 2006-07-30 |
| 1841212545 | Warm Springs Road Cvs LLC | Pharmacy | 605 N Stephanie St, Henderson, NV 89014-2612 | 2006-07-24 |
| 1043237142 | Walmart Inc. | Pharmacy | 300 E Lake Mead Pkwy, Henderson, NV 89015-5576 | 2006-07-16 |
| Find all providers in HENDERSON | ||||
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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.