WALGREEN CO (NPI# 1386850568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386850568 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #10550 |
| Practice Address |
824 N Veterans Blvd San Juan TX 78589-3215 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 9567834977 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2019-05-21 |
| 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 | 25567 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 4544878 | 01 | |
| TX | 469246 | 05 | |
| TX | 466409 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #10550 | 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 |
824 N VETERANS BLVD |
| City | SAN JUAN |
| State | TX |
| Zip Code | 78589-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823917 | Okunlola Margaret Odutayo | Pharmacist | 824 N Veterans Blvd, San Juan, TX 78589-3215 | 2020-08-28 |
| 1063713105 | Kenneth Chiuba Emelonye IIi | Pharmacist | 824 N Veterans Blvd, San Juan, TX 78589-3215 | 2010-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417598814 | Nueva Vida Primary Home Care LLC | In Home Supportive Care | 213 W. Business 83, San Juan, TX 78589 | 2019-10-07 |
| 1396207858 | Heart To Heart Talks, LLC | Counselor | 409 W. Fm 495, San Juan, TX 78589 | 2019-04-03 |
| 1386131209 | L4 Family Investments, LLC. | Technician | 1709 S Stewart Rd, San Juan, TX 78589 | 2018-04-16 |
| 1558741553 | Paraiso Dental Pllc | Clinic/Center | 1618 N Veterans Blvd Suite A, San Juan, TX 78589 | 2015-06-04 |
| 1811325970 | Liquid Dental, Pllc | Dentist | 105 South Cesar Chavez Road, Suite #2, San Juan, TX 78589 | 2013-10-28 |
| 1598021966 | Kids Dental & Orthodontics | Dentist | 1618 N. I Road Suite A, San Juan, TX 78589 | 2012-04-10 |
| 1003180704 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 100 E Fm 495, San Juan, TX 78589 | 2012-02-28 |
| 1598074932 | Chukwunonso Jideofor Azikiwe | Physical Therapy Assistant | 407 W. State Hwy 495, San Juan, TX 78589 | 2010-10-04 |
| 1093044539 | Melissa Rivera Dds Pa | Dentist | 4500 N Raul Longoria Street, San Juan, TX 78589 | 2009-12-11 |
| 1598995607 | Marivel Lydia Cavazos | Nurse Practitioner | 1211 N. Raul Longoria Ra. Ste C, San Juan, TX 78589 | 2009-07-23 |
| Find all providers in zip 78589 | ||||
| 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 |
|---|---|---|---|---|
| 1184146219 | Pueblo Inc | Pharmacy | 652 Ave Munoz Rivera Ste 200, San Juan, PR 00918-4257 | 2017-07-11 |
| 1801337605 | Rm Supermarket San Patricio Inc | Pharmacy | Central Plaza Shopping Center Suite #1, San Juan, PR 00920 | 2017-03-13 |
| 1962946426 | Centro Ararat Inc | Pharmacy | 1507 Calle Prof Augusto Rodrigue, San Juan, PR 00909-2214 | 2016-12-18 |
| 1285005561 | Central Drug Dorado Corp | Pharmacy | Carretera # 1 Km 25.5 Interior Camino Los Navarro, Bo Quebrada Arena, San Juan, PR 00926 | 2015-10-13 |
| 1699177261 | Damar of Puerto Rico Services Inc | Pharmacy | Esq. Barbosa #404, Calle Sicilia, San Juan, PR 00907 | 2014-09-25 |
| 1215339379 | Central Plus Inc | Pharmacy | 1304c Ave Jesus T Pinero, San Juan, PR 00921-1508 | 2014-09-20 |
| 1437559002 | Central Plus Inc. | Pharmacy | 911 Calle Rafael Mercado, Villa Navarra, San Juan, PR 00924-2811 | 2014-09-02 |
| 1306192828 | Pro Health Pharmacy, Inc. | Pharmacy | #312 32nd St, Urbanizacion Villa Nevarez, San Juan, PR 00927 | 2012-08-02 |
| 1063789600 | Pharmacare, Inc. | Pharmacy | 300 Calle Tapia, Esq Gilberto Monroig, San Juan, PR 00912-4219 | 2011-11-28 |
| 1487956082 | Physician Management Corporation of America | Pharmacy | 282 Pinero Ave., Suite 200c, San Juan, PR 00921 | 2010-12-02 |
| Find all providers in SAN JUAN | ||||
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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.