WALGREEN CO (NPI# 1366674244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366674244 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #12266 |
| Practice Address |
209 N 3rd St Oakland MD 21550-1325 |
| Mailing Address |
1901 E Voorhees St Ms #790 Danville IL 61834-4509 |
| Practice Telephone | 3013341597 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2018-11-27 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | P06753 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICAID DME | 419296600 | 01 |
| MD | 419312100 | 05 | |
| NCPDP | 2134790 | 01 | |
| WV | WV MEDICAID | 3810017574 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #12266 | 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 |
209 N 3RD ST |
| City | OAKLAND |
| State | MD |
| Zip Code | 21550-1325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184900573 | Kristen Marie Rollman | Pharmacist | 209 N 3rd St, Oakland, MD 21550-1325 | 2011-10-29 |
| 1730461799 | Marianne April Knotts | Pharmacist | 209 N 3rd St, Oakland, MD 21550-1325 | 2011-09-15 |
| 1588758106 | Andrew Scott Rohrbaugh | Pharmacist | 209 N 3rd St, Oakland, MD 21550-1325 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619470218 | Care 1st Wellness | Counselor | 13223 Garrett Highway, Suite 2, Oakland, MD 21550 | 2018-03-10 |
| 1285133041 | Ruth Chisholm | Dietitian, Registered | 251 North Fourth Street, Oakland, MD 21550 | 2018-02-07 |
| 1992221055 | Garrett Treatment Center, LLC | Clinic/Center | 233 East Alder Street, Suite A, Oakland, MD 21550 | 2017-08-20 |
| 1801347638 | Pressley Ridge | Community/Behavioral Health | 8000 Thayer Center, Oakland, MD 21550 | 2016-10-17 |
| 1639588486 | Bridget Frazee | Pharmacist | 220 N 3rd Street, Oakland, MD 21550 | 2014-08-06 |
| 1649562901 | Rachel Renee Friend-lantz | Nurse Practitioner | 13145 Garrett Hwy, Oakland, MD 21550 | 2011-05-05 |
| 1003034794 | Rodney Steve Richard | Social Worker | 20 East Oak St., Oakland, MD 21550 | 2007-04-20 |
| 1114141785 | Garrett County Board of Education | Local Education Agency (LEA) | 40 S Second Street, Oakland, MD 21550 | 2007-04-12 |
| 1437372620 | D W Sheets Dmd LLC | Dentist | 4000 Thayer Center, Oakland, MD 21550 | 2007-04-10 |
| 1003943465 | Lisa C Scott | Physician Assistant | 69 Wolf Acres Drive, Oakland, MD 21550 | 2007-02-27 |
| Find all providers in zip 21550 | ||||
| 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 |
|---|---|---|---|---|
| 1114385143 | Integrated Medical Associated Pharmacy Inc | Pharmacy | 10500 Macarthur Blvd # 103, Oakland, CA 94605-5248 | 2016-02-04 |
| 1497183271 | Kaiser Foundation Health Plan Inc | Pharmacy | 3600 Broadway Fl 1, Oakland, CA 94611 | 2013-10-14 |
| 1154623205 | Maxor National Pharmacy Services LLC | Pharmacy | 550 6th St, Oakland, CA 94607-3946 | 2010-11-23 |
| 1841424843 | Kaiser Foundation Health Plan Inc | Pharmacy | 3701 Broadway Fl 3, Oakland, CA 94611-5613 | 2009-05-06 |
| 1104060383 | Kaiser Foundation Health Plan Inc | Pharmacy | 3701 Broadway Fl 4, Oakland, CA 94611-5613 | 2009-05-01 |
| 1770723645 | Kaiser Foundation Health Plan Inc | Pharmacy | 3701 Broadway Fl 1, Oakland, CA 94611-5613 | 2009-03-04 |
| 1457532590 | Specialty Pharmacies, Inc. | Pharmacy | 465 2nd St, Oakland, CA 94607-3839 | 2007-11-16 |
| 1669661237 | Specialty Pharmacies Inc | Pharmacy | 465 2nd Street, Oakland, CA 94607 | 2007-10-19 |
| 1639217623 | Sullivan Pharmaceuticals Inc | Pharmacy | 6123 La Salle Ave, Oakland, CA 94611-2801 | 2007-02-02 |
| 1083701247 | Bradford Pharmacy Inc | Pharmacy | 445 8th St, Oakland, CA 94607-3901 | 2006-10-09 |
| Find all providers in OAKLAND | ||||
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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.