WALGREEN CO (NPI# 1396750378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396750378 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #05611 |
| Practice Address |
801 N Fillmore St Amarillo TX 79107-3763 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8063718116 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-05-13 |
| 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 | 20168 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 464404 | 05 | |
| TX | 468844 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4512922 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #05611 | 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 |
801 N FILLMORE ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79107-3763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275190837 | Jennifer Lauren Chisum | Pharmacist | 801 N Fillmore St, Amarillo, TX 79107-3763 | 2019-05-20 |
| 1780912675 | Mark Aaron King | Pharmacist | 801 N Fillmore St, Amarillo, TX 79107-3763 | 2009-12-03 |
| 1104154095 | Mario Hernandez | Pharmacist | 801 N Fillmore St, Amarillo, TX 79107-3763 | 2009-12-03 |
| 1245568120 | Adam Huddleston | Pharmacist | 801 N Fillmore St, Amarillo, TX 79107-3763 | 2009-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851738884 | Daniel J Meadors | Dentist | 2201 N. Grand, Amarillo, TX 79107 | 2013-05-31 |
| 1568660785 | Keelie Nicole Hauk | Dental Hygienist | 850 Martin Road, Amarillo, TX 79107 | 2007-07-10 |
| 1346361664 | Daniel J Meadors Dds Inc | Dentist | 2201 N Grand, Amarillo, TX 79107 | 2007-04-03 |
| 1881701795 | John C Curry | Dentist | 2201 N Grand St, Amarillo, TX 79107 | 2006-08-24 |
| 1285633305 | Kathy Ann Ford | Nurse Practitioner | 824 Martin Rd, Amarillo, TX 79107 | 2005-07-20 |
| 1629572854 | Ihnbae Cho | Dentist | 206 Ne 7th Ave, Amarillo, TX 79107 | 2018-03-21 |
| 1467736363 | Maria Fernanda Contreras | Pediatrics | 713 N Taylor St, Amarillo, TX 79107 | 2011-10-11 |
| 1477735322 | Timothy John Revell | Emergency Medicine | 9601 Spur 591, Amarillo, TX 79107 | 2007-12-03 |
| 1851309280 | John Michael Archer | Dentist | 1900 Coulter Road, Suite G, Amarillo, TX 79107-1732 | 2006-08-03 |
| 1386067593 | Amber Leigh Roth | Nurse Practitioner | 1411 East Amarillo Blvd, Amarillo, TX 79107-1770 | 2014-01-23 |
| Find all providers in zip 79107 | ||||
| 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 |
|---|---|---|---|---|
| 1144793357 | Bushland Drug, LLC | Pharmacy | 1600 S. Fm 2381, Amarillo, TX 79124 | 2019-01-10 |
| 1285142885 | Maxor National Pharmacy Services LLC | Pharmacy | 416 S Tyler St, Amarillo, TX 79101-2346 | 2018-01-17 |
| 1629511100 | Uhs Retail Pharmacy LLC | Pharmacy | 1501 S Coulter St Ste A, Amarillo, TX 79106-1770 | 2016-12-01 |
| 1982076147 | Ssa Holdings LLC | Pharmacy | 6010 S Western St Ste 100, Amarillo, TX 79110-3612 | 2015-10-28 |
| 1770907776 | United Supermarkets LLC | Pharmacy | 3552 S Soncy Rd, Amarillo, TX 79119-6672 | 2014-02-11 |
| 1922146257 | Wtrx Healt Center Inc | Pharmacy | 3211 S Coulter St, Amarillo, TX 79106-2720 | 2007-02-01 |
| 1962502203 | Maxor National Pharmacy Services LLC | Pharmacy | 102 Sw 3rd Ave, Amarillo, TX 79101-1443 | 2006-09-25 |
| 1124063649 | Texas Tech University Health Sciences Center | Pharmacy | 1400 S Coulter St Ste 1100, Amarillo, TX 79106-1786 | 2006-06-18 |
| 1932146453 | Albertsons LLC | Pharmacy | 716 I-40 W, Amarillo, TX 79102-3011 | 2006-06-01 |
| 1841237369 | Albertsons LLC | Pharmacy | 4215 Sw 45th Ave, Amarillo, TX 79109-5401 | 2006-06-01 |
| Find all providers in AMARILLO | ||||
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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.