WALGREEN CO (NPI# 1376558387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376558387 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #04679 |
| Practice Address |
2879 Montana Ave El Paso TX 79903-2407 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 9155664464 |
| Practice Fax Number | 9155623460 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-05-10 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 12731 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4576394 | 01 | |
| TX | 468954 | 05 | |
| TX | 462914 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04679 | 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 |
2879 MONTANA AVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79903-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500523 | Debra Kay Flores | Pharmacist | 2879 Montana Ave, El Paso, TX 79903-2407 | 2020-08-24 |
| 1255885182 | Jean-claude Nzimulinda | Pharmacist | 2879 Montana Ave, El Paso, TX 79903-2407 | 2016-08-09 |
| 1023445350 | Jin Hyung Kang | Pharmacist | 2879 Montana Ave, El Paso, TX 79903-2407 | 2013-10-01 |
| 1881971364 | Thao Ho | Pharmacist | 2879 Montana Ave, El Paso, TX 79903-2407 | 2011-11-10 |
| 1669709408 | Juan L Adame | Pharmacist | 2879 Montana Ave, El Paso, TX 79903-2407 | 2009-11-16 |
| 1184951956 | David Mark Owen | Pharmacist | 2879 Montana Ave, El Paso, TX 79903-2407 | 2009-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447757562 | Jacqueline J. Pantoja | Behavior Technician | 4100 Cumberland Ave, El Paso, TX 79903 | 2018-04-06 |
| 1891207718 | Luna Tierra Casa De Partos | Midwife | 4130 Hueco Ave., El Paso, TX 79903 | 2017-11-01 |
| 1275982415 | James Blanco I | Counselor | 6000 Welch #15, El Paso, TX 79903 | 2016-06-08 |
| 1902269426 | Mayra Gaona | Contractor | 3431 Pershing Dr. Ste D1, El Paso, TX 79903 | 2016-04-01 |
| 1164777918 | Silvia Elena Marrufo | Chiropractor | 2601 E Yandell Dr Ste 223, El Paso, TX 79903 | 2012-07-18 |
| 1992062335 | Claudia Marie Yagel | Occupational Therapist | 2429 Montanna Ave, #a, El Paso, TX 79903 | 2012-04-23 |
| 1801164199 | Kavita Bhakta | Pharmacist | 2879 Montana, El Paso, TX 79903 | 2011-12-01 |
| 1396032074 | Oscar Arteaga | Community/Behavioral Health | 4664 Caples Cir, El Paso, TX 79903 | 2011-07-01 |
| 1487977716 | William Beaumont Army Medical Center-army Substance Abuse Program | Social Worker | 1512 Mathias, El Paso, TX 79903 | 2010-03-01 |
| 1841434008 | Sun City Behavioral Health Care | Counselor | 2931 Montana Ave., Suite B, El Paso, TX 79903 | 2009-04-30 |
| Find all providers in zip 79903 | ||||
| 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 |
|---|---|---|---|---|
| 1679124994 | American Specialty Pharmacy, Inc | Pharmacy | 1015 N Zaragoza Rd Ste C, El Paso, TX 79907-1822 | 2019-09-27 |
| 1205340569 | Albrighton Group Inc. | Pharmacy | 14087 Pebble Hills Blvd Apt 1022, El Paso, TX 79938-2674 | 2017-11-24 |
| 1649716465 | Mesa Pharma Inc | Pharmacy | 310 S Mesa Hills Dr Ste C, El Paso, TX 79912-5881 | 2017-01-18 |
| 1942757166 | Comprehensive Healthcare Services LLC | Pharmacy | 2931 George Dieter Dr Ste C, El Paso, TX 79936-2942 | 2016-09-06 |
| 1841644465 | Ez Scripts LLC | Pharmacy | 3028 Trawood Dr Ste D, El Paso, TX 79936 | 2016-04-20 |
| 1982026811 | Comprehensive Healthcare Services LLC | Pharmacy | 12371 Edgemere Blvd Ste 210, El Paso, TX 79938-4879 | 2014-01-13 |
| 1063756609 | El Paso County Hospital District | Pharmacy | 1485 George Dieter Dr Ste 107, El Paso, TX 79936-7650 | 2012-11-20 |
| 1245516954 | American Specialty Pharmacy Inc | Pharmacy | 1015 N Zaragoza Rd, El Paso, TX 79907-1822 | 2011-10-26 |
| 1679792980 | Hector G. Arredondo | Pharmacy | 3712 Alameda Ave, El Paso, TX 79905-2507 | 2007-04-25 |
| 1720119829 | El Paso County Hospital District | Pharmacy | 9839 Kenworthy St, El Paso, TX 79924-4402 | 2007-03-08 |
| Find all providers in EL PASO | ||||
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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.