WALGREENS PHARMACY (NPI# 1366824351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366824351 |
| Entity Type | Organization |
| Organization Name | WALGREENS PHARMACY |
| Practice Address |
12345 Saint Charles Rock Rd Bridgeton MO 63044-2505 |
| Practice Telephone | 3147702479 |
| Mailing Telephone | 3147702479 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |
| Authorized Official Name | MRS. ANGELA JOHNSON (PHARMACY MANAGER) |
| Authorized Official Telephone | 3147702479 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332100000X | Department of Veterans Affairs (VA) Pharmacy | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659775260 | Walgreens Pharmacy | Pharmacist | 4986 Common Market Pl, Dublin, OH 43016-9192 | 2014-10-10 |
| 1447510730 | Walgreens Pharmacy | Pharmacy | 12600 Tamiami Trl S, North Port, FL 34287-1974 | 2012-05-21 |
| 1225313901 | Walgreens Pharmacy | Pharmacy | 399 West Main St, Norwich, CT 06360 | 2011-10-13 |
| 1194008516 | Walgreens Pharmacy | Pharmacist | 9 Altemus Dr, Landenberg, PA 19350-1357 | 2011-09-21 |
| 1922300508 | Walgreens Pharmacy | Pharmacist | 887 East Liberty Street, York, SC 29745 | 2010-12-02 |
| 1194052449 | Walgreens Pharmacy | Pharmacist | 731 W. Beltline, Desoto, TX 75115 | 2009-11-06 |
| 1437366572 | Walgreens Pharmacy | Pharmacy | 201 Mathistown Road, Little Egg Harbor, NJ 08087 | 2007-05-17 |
| 1407302383 | Walgreens Pharmacy | Pharmacy | 1501 W Cumberland St, Dunn, NC 28334 | 2016-08-30 |
| 1568915080 | Walgreens Pharmacy | Pharmacist | 2190 Shattuck Ave, Unit 309, Berkeley, CA 94704-1307 | 2016-08-02 |
| 1205289121 | Walgreens Pharmacy | Case Management | 10580 W Ustick Rd, Boise, ID 83704-5267 | 2016-07-15 |
| Street Address |
12345 SAINT CHARLES ROCK RD |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477568624 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 12345 Saint Charles Rock Rd, Bridgeton, MO 63044-2505 | 2006-07-29 |
| 1780295634 | Melissa Bradbury | Pharmacist | 12345 Saint Charles Rock Rd, Bridgeton, MO 63044-2505 | 2020-08-13 |
| 1659865129 | Christine Ella Lindsay | Nurse Practitioner | 12345 Saint Charles Rock Rd, Bridgeton, MO 63044-2505 | 2018-06-19 |
| 1013301639 | Matthew Kahle | Pharmacist | 12345 Saint Charles Rock Rd, Bridgeton, MO 63044-2505 | 2015-03-20 |
| 1750773156 | Austin Kim | Pharmacist | 12345 Saint Charles Rock Rd, Bridgeton, MO 63044-2505 | 2015-02-23 |
| 1538413794 | Roman Hailu | Nurse Practitioner | 12345 Saint Charles Rock Rd, Bridgeton, MO 63044-2505 | 2012-11-08 |
| 1053688846 | Carolyn Hager | Pharmacist | 12345 Saint Charles Rock Rd, Bridgeton, MO 63044-2505 | 2011-11-21 |
| 1407131006 | Cherita Nichole Greer | Pharmacist | 12345 Saint Charles Rock Rd, Bridgeton, MO 63044-2505 | 2011-10-14 |
| 1245514819 | Wanna Janwatanagool | Pharmacist | 12345 Saint Charles Rock Rd, Bridgeton, MO 63044-2505 | 2011-09-30 |
| 1073896858 | Ronald Savetz | Pharmacist | 12345 Saint Charles Rock Rd, Bridgeton, MO 63044-2505 | 2011-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 332100000X |
| Grouping | Suppliers |
| Classification | Department of Veterans Affairs (VA) Pharmacy |
| Department of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital’s DEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based Outpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory licensed pharmacist, and has staffing to meet its designated scope of service. |
| Notes: Source: Pharmacy Benefits Management – Strategic Healthcare Group, Veterans Health Administration, Department of Veterans Affairs [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659547800 | Fayetteville Vamc | Department of Veterans Affairs (VA) Pharmacy | 1850 W Republic Rd, Springfield, MO 65807-5730 | 2008-05-07 |
| 1912180357 | St. Louis Jc Vamc | Department of Veterans Affairs (VA) Pharmacy | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2007-12-07 |
| 1558319715 | St. Louis Jc Vamc | Department of Veterans Affairs (VA) Pharmacy | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2006-05-04 |
| 1588622880 | St. Louis Jc Vamc | Department of Veterans Affairs (VA) Pharmacy | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2006-05-03 |
| 1194783001 | Kansas City Vamc | Department of Veterans Affairs (VA) Pharmacy | 800 Hospital Dr, Columbia, MO 65201-5275 | 2006-05-02 |
| 1326006149 | Kansas City Vamc | Department of Veterans Affairs (VA) Pharmacy | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2006-05-02 |
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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.