WALGREEN CO


Address: 1114 S Main St, Maryville, MO 64468-2602
Phone: 6605622157

WALGREEN CO (NPI# 1407088800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407088800
Entity Type Organization
Organization Name WALGREEN CO
Other Organization Name WALGREENS #12821
Practice Address 1114 S Main St
Maryville
MO 64468-2602
Mailing Address 1901 E Voorhees St
M/s 790
Danville
IL 61834-4509
Practice Telephone 6605622157
Mailing Telephone 2177092386
Mailing Fax Number 2177092344
Enumeration Date 2009-08-18
Last Update Date 2019-04-08
Authorized Official Name ALYSSA SWEETEN (MANAGER)
Authorized Official Telephone 2177092386
Is Organization Subpart Y
Parent Organization Name WALGREENS BOOTS ALLIANCE INC

Taxonomy

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 2009030178 MO Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MO NCPDP 2638801 01
MO 606443604 05

Other Provider/Organization Names

Other Name Type Code
Walgreens #12821 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 1114 S MAIN ST
City MARYVILLE
State MO
Zip Code 64468-2602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245732270 Marah Elizabeth Heckman Pharmacist 1114 S Main St, Maryville, MO 64468-2602 2018-03-06
1629348362 Julie Simmerman Pharmacist 1114 S Main St, Maryville, MO 64468-2602 2012-01-11
1467729368 Theresa Ann Rowan Pharmacist 1114 S Main St, Maryville, MO 64468-2602 2011-11-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619315603 William Sean Prescott Counselor 318 North Main, Maryville, MO 64468 2013-06-12
1215284617 Janet Luzmoor Counselor 109 East Summit Dr, Maryville, MO 64468 2012-08-06
1629336177 Kristi Renee White Social Worker 423 N Market St, Maryville, MO 64468 2012-05-02
1285942474 Kyle William Bowers Physical Therapist 2016 South Main Street, Maryville, MO 64468 2010-09-22
1861600660 Debra Anne Hopkins Physical Therapist 2416 South Main St, Maryville, MO 64468 2007-05-18
1023235975 Susan Kay Grispino Occupational Therapist Area Cooperative for Educational Support, 1429 South Munn Avenue, Maryville, MO 64468 2007-04-20
1760542567 North West Missouri State University Clinic/Center 800 University Drive, Maryville, MO 64468 2006-12-11
1528154994 Bruce E Twaddle Dentist 231 Summit Drive, Maryville, MO 64468 2006-10-05
1669588075 Stanley David Snyder Dentist 2825 South Main Street, Maryville, MO 64468 2006-08-21
1710906896 Ileen Richey-arellin Social Worker 109 E Summit Drive, Family Guidance Center, Maryville, MO 64468 2006-07-19
Find all providers in zip 64468

Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952312530 Blount Discount Pharmacy Inc Pharmacy 152 Bmh Physicians Office Bldg, Maryville, TN 37804-5902 2006-08-10
1043237407 K Va T Food Stores Inc Pharmacy 2135 E Broadway Ave, Maryville, TN 37804-3034 2006-07-15
1750925079 Health Management Zone Inc. Pharmacy 2700 N Center St, Maryville, IL 62062-5624 2019-10-30
1194183467 M Rogers Inc & Subsidiary Pharmacy 125 E South Ave, Maryville, MO 64468-2669 2016-02-02
1144251141 K Mart Corp Pharmacy 945 Mccammon Ave, Maryville, TN 37801-3958 2006-07-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912506437 E Health Pharmacy, LLC Pharmacy 411d Northview Rd, Nixa, MO 65714-8679 2020-10-26
1750994869 Script Partner Pharmacy LLC Pharmacy 100 Chesterfield Bus Pkwy Ste 279, Chesterfield, MO 63005-1271 2020-08-28
1821600545 Debbie S Pharmacy LLC Pharmacy 815 Hazelwest Dr Ste 100, Hazelwood, MO 63042-1762 2020-08-24
1689285082 Logan & Seiler Inc Pharmacy 102 Hospitality Drive, Suite B, Sikeston, MO 63801 2020-08-11
1023626389 Lemonaid Community Pharmacy, Inc Pharmacy 7580 Watson Rd, Saint Louis, MO 63119-4409 2020-07-22
1689207870 Washington University Cancer Center Pharmacy - North County Pharmacy 1225 Graham Rd Fl 1, Florissant, MO 63031-8012 2020-02-17
1942847413 Southeast Hospital Pharmacy 2600 E. Main Street, Suite 113, Jackson, MO 63755 2019-12-04
1720624323 Toney Drug & Wellness, LLC Pharmacy #1 Hals Plaza Dr, Piedmont, MO 63957 2019-11-19
1427606912 Medley Pharmacy Inc Pharmacy 1024 S Bishop Ave, Rolla, MO 65401-4416 2019-08-28
1013479716 Cerner Health Connections, Inc. Pharmacy 1403 Hampton Avenue, St. Louis, MO 63139 2019-04-02
Find all providers with the same taxonomy

Competitor

Search similar providers

City MARYVILLE
Zip Code 64468

Improve Information

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Dataset Information

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.

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