WALGREEN CO (NPI# 1457875148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457875148 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #19115 |
| Practice Address |
140 Back River Neck Rd Baltimore MD 21221-3924 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 4102380511 |
| Practice Fax Number | 4102387327 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2019-09-12 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | P07787 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 645522100 | 05 | |
| MD | NCPDP | 2142090 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID #324 | Doing Business As Name - Organization |
| Walgreens #19115 | 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 |
140 BACK RIVER NECK RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21221-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396054623 | Mousa Nejaddehghan | Pharmacist | 140 Back River Neck Rd, Baltimore, MD 21221-3924 | 2010-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760992879 | Mercy First Healthcare Solutions | Home Health | 1633 Renaissance Drive, Baltimore, MD 21221 | 2017-10-03 |
| 1659801686 | Preferred Mobility, LLC | Durable Medical Equipment & Medical Supplies | 7110 Golden Ring Rd, Suite 102, Essex, MD 21221 | 2017-06-13 |
| 1588116594 | Beverly Hogan | Speech-Language Pathologist | 8839 Kelso Drive Suite A & B, Essex, MD 21221 | 2016-10-26 |
| 1851764740 | Walgreens#2446 | Clinic/Center | 6 South Marlyn Ave, Essex, MD 21221 | 2015-11-02 |
| 1982070413 | Sonay Naqib | Dentist | 1346 Eastern Boulevard, Essex, MD 21221 | 2015-08-19 |
| 1225423411 | Vivid Home Care Service Inc | Home Health | 1111 Country Terrace Road, Apartment E, Essex, MD 21221 | 2015-04-03 |
| 1831584184 | Kfm Inc | Pharmacy | 901 Eastern Blvd, Suite 100, Essex, MD 21221 | 2015-04-03 |
| 1063811420 | Eliza Chappelle | Pharmacist | 500 Eastern Avenue, Baltimore, MD 21221 | 2014-08-21 |
| 1316350549 | Stephen Riggin Jr. | Pharmacist | 500 Eastern Ave., Essex, MD 21221 | 2014-06-05 |
| 1891118899 | Shiphrah Birthing Services | Midwife | 617 Stemmers Run Rd Ste E, Essex, MD 21221 | 2014-01-27 |
| Find all providers in zip 21221 | ||||
| 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 |
|---|---|---|---|---|
| 1265049647 | West North Pharmacy, Inc | Pharmacy | 3044 W North Ave Ste A&b, Baltimore, MD 21216-3180 | 2020-09-29 |
| 1770103707 | Molly Wascher | Pharmacy | 5901 Holabird Ave Ste A2, Baltimore, MD 21224-6015 | 2020-04-20 |
| 1609417989 | The Johns Hopkins Hospital | Pharmacy | 5300 Holabird Ave Ste A-1, Baltimore, MD 21224-6010 | 2019-10-08 |
| 1023581279 | Morrell Park Pharmacy LLC | Pharmacy | 2519 Washington Blvd, Baltimore, MD 21230-1406 | 2019-01-09 |
| 1427558527 | Frontier Health Services LLC | Pharmacy | 1251 W Pratt St Ste D, Baltimore, MD 21223-2665 | 2018-02-15 |
| 1851806889 | Aids Healthcare Foundation | Pharmacy | 11 E Lexington St Ste 100, Baltimore, MD 21202-1732 | 2017-12-13 |
| 1801312038 | Comfortial Health System | Pharmacy | 3404 Eastern Ave, Baltimore, MD 21224-4121 | 2017-08-18 |
| 1356874820 | Liberty Pharmacy LLC | Pharmacy | 108 N Eutaw St, Baltimore, MD 21201-2154 | 2017-04-11 |
| 1124561998 | Vdn Pharmacy LLC | Pharmacy | 6821 Reisterstown Rd Ste 207, Baltimore, MD 21215-1482 | 2016-11-29 |
| 1396191458 | The Johns Hopkins Hospital | Pharmacy | 401 N. Broadway, Suite 1001, Baltimore, MD 21231 | 2016-05-09 |
| Find all providers in BALTIMORE | ||||
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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.