WALGREEN CO (NPI# 1396750386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396750386 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #05922 |
| Practice Address |
108 Ne 28th St Fort Worth TX 76164-7203 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8173780527 |
| Practice Fax Number | 8173780535 |
| 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 | 20563 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4515497 | 01 | |
| TX | 464716 | 05 | |
| TX | 468029 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #05922 | 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 |
108 NE 28TH ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76164-7203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528344264 | Francis Nguyen | Pharmacist | 108 Ne 28th St, Fort Worth, TX 76164-7203 | 2011-10-26 |
| 1588984462 | Tracy Clagg | Pharmacist | 108 Ne 28th St, Fort Worth, TX 76164-7203 | 2010-06-02 |
| 1881921013 | Cindy Kieu Nguyen | Pharmacist | 108 Ne 28th St, Fort Worth, TX 76164-7203 | 2009-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648561 | Karissa Brianna Rodriguez | Registered Nurse | 2215 Pearl Avenue, Fort Worth, TX 76164 | 2020-08-02 |
| 1972609501 | Patricia Gail Woolford | Dentist | 612 Nw 25th St, Ft Worth, TX 76164 | 2006-09-14 |
| 1215428511 | Veronica Salaices-fraire | Physician Assistant | 229 Ne 28th St, Fort Worth, TX 76164 | 2018-05-22 |
| 1831134667 | Rose S Simonian | Obstetrics & Gynecology | 2200 Ephriham Ave, Fort Worth, TX 76164-6642 | 2006-06-17 |
| 1316457278 | Jamie Renee Shields | Nurse Practitioner | 2200 Ephriham Ave, Fort Worth, TX 76164-6642 | 2017-10-05 |
| 1457448482 | Glory Lynn Windmiller | Dentist | 1966 Ephriham Ave, Fort Worth, TX 76164-6670 | 2006-10-10 |
| 1881611382 | Melissa Kurkjian Greer | Internal Medicine | 1950 Ephriham Ave, Fort Worth, TX 76164-6670 | 2006-07-17 |
| 1053367763 | Usrc Tarrant Lp | Clinic/Center | 1978 Ephriham Ave, Fort Worth, TX 76164-6670 | 2006-05-25 |
| 1356898092 | Yaimi Jaramillo-ortiz | Physician Assistant | 1950 Ephriham Ave, Fort Worth, TX 76164-6670 | 2016-09-09 |
| 1700044971 | Atul M Masters | Dentist | 1612 Nw 28th St, Fort Worth, TX 76164-6843 | 2008-05-23 |
| Find all providers in zip 76164 | ||||
| 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 |
|---|---|---|---|---|
| 1528672342 | Still Living LLC | Pharmacy | 5344a N Tarrant Pkwy, Fort Worth, TX 76244-6293 | 2020-08-31 |
| 1134618648 | A-class Park Place Pharmacy LLC | Pharmacy | 1001 12th Ave Ste 156, Fort Worth, TX 76104-3929 | 2018-05-09 |
| 1053818344 | Texas Digestive Disease Consultants Pllc | Pharmacy | 6317 Harris Pkwy Ste 320, Fort Worth, TX 76132-4256 | 2018-04-12 |
| 1659881423 | University of Texas Southwestern Medical Center At Dallas | Pharmacy | 600 S Main St Ste 1.102, Fort Worth, TX 76104-2410 | 2017-10-06 |
| 1467996314 | Westlake Health & Beauty Products | Pharmacy | 5421 Basswood Blvd Ste 700, Fort Worth, TX 76137-4483 | 2016-12-12 |
| 1033663521 | Oncology Pharmacy Services Inc. | Pharmacy | Texas Oncology Pharmacy - Sw Fort Worth, 6500 Harris Parkway Suite #100, Fort Worth, TX 76132 | 2016-08-12 |
| 1992169395 | University of Texas Southwestern Medical Center At Dallas | Pharmacy | 400 W Magnolia Ave Ste 2500, Fort Worth, TX 76104-7617 | 2016-04-12 |
| 1487036687 | Sechanz Enterprises Inc | Pharmacy | 6306 Meadowbrook Dr, Fort Worth, TX 76112-5121 | 2015-06-24 |
| 1174862718 | The Main Pharmacy | Pharmacy | 1226 S Main St, Fort Worth, TX 76104-4803 | 2013-02-01 |
| 1942546395 | Aids Healthcare Foundation | Pharmacy | 400 N Beach St Ste 102, Fort Worth, TX 76111-7070 | 2012-12-12 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76164 |
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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.