WALGREEN CO (NPI# 1477704203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477704203 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #15912 |
| Practice Address |
7100 W 20th Ave Ste G177 Hialeah FL 33016-1897 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 3058240696 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2018-05-09 |
| 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 | 333600000X | Pharmacy | PH23706 | FL | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 1038860 | 01 | |
| FL | 000534400 | 05 | |
| FL | FL MEDICAID DME | 000534401 | 01 |
| Other Name | Type Code |
|---|---|
| Walgreens #15912 | 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 |
7100 W 20TH AVE STE G177 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33016-1897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450580 | Yenly Hernandez Arrieta | Behavior Technician | 6550 West 22 Court, Hialeah, FL 33016 | 2020-09-03 |
| 1952929028 | Live Mental Care Inc | Community/Behavioral Health | 8040 Nw 95th St., Unit 226, Hialeah Gardens, FL 33016 | 2020-07-06 |
| 1497375059 | Lisset Sirven | Student in an Organized Health Care Education/Training Program | Palmetto General Hospital, 2001 W 68th St, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-23 |
| 1386264331 | Zahid Chaudhry | Student in an Organized Health Care Education/Training Program | 2001 W 68th Street, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-20 |
| 1386285021 | Monica Hurtado | Behavior Technician | 2480 W 67th Pl # 22, Hialeah, FL 33016 | 2019-10-03 |
| 1346892783 | Yamile Blanco Rodriguez | Behavior Technician | 2265 W 55th St, Hialeah, FL 33016 | 2019-07-16 |
| 1669938197 | Althea Aesthetics & Medical Arts Center | Pathology | 14160 Nw 77th Court., Suite 100, Miami Lakes, FL 33016 | 2019-02-20 |
| 1497226096 | Dominick Maurici | Physical Therapy Assistant | 9905 Nw 79 Ave, Hialeah Gardens, FL 33016 | 2018-12-09 |
| 1871061283 | Lazaro Teresa-calleja Jr. | Nurse Practitioner | 2715 West 73 Pl, Hialeah, FL 33016 | 2018-11-05 |
| 1245719640 | Yagna Elena Martinez La Fe | Nurse Practitioner | 7191 W 24th Ave Apt 56, Hialeah, FL 33016 | 2018-08-07 |
| Find all providers in zip 33016 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811034119 | Malecon Pharmacy Inc | Pharmacy | 5966 W 16th Ave, Hialeah, FL 33012-6814 | 2007-01-30 |
| 1831592492 | Asc Pharmacy, Inc. | Pharmacy | 3416 W 84th St, Suite 108a, Hialeah, FL 33018-4933 | 2014-09-26 |
| 1801209366 | Life Healthcare Services, Inc. | Pharmacy | 2170 W 73rd St, Hialeah, FL 33016-1820 | 2014-06-03 |
| 1104263938 | Flores Pharmacy | Pharmacy | 1475 W Okeechobee Rd Ste 5, Hialeah, FL 33010-2860 | 2013-06-03 |
| 1053664268 | Prestiage Pharmacy and Medical Supplies Inc | Pharmacy | 2150 W 76th St, Suite 106, Hialeah, FL 33016-1882 | 2012-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480375 | Sun Health and Wellness, Inc | Pharmacy | 109 Park Place Blvd, Suite A, Davenport, FL 33837 | 2020-09-01 |
| 1710505458 | Orlando Health Inc | Pharmacy | 1111 Blackwood Ave, Ocoee, FL 34761-4549 | 2020-07-09 |
| 1508498569 | Cba Pharmacy Inc | Pharmacy | 13801 Bruce B Downs Blvd Ste 102&103, Tampa, FL 33613-3946 | 2020-02-07 |
| 1730723685 | Eckerds Rx 107 LLC | Pharmacy | 710 N Brevard Ave, Arcadia, FL 34266-8778 | 2019-11-04 |
| 1780244335 | Amaranth Life Sciences Pharmaceutical, Inc. | Pharmacy | 1731 Avenida Del Sol, Boca Raton, FL 33432-1742 | 2019-06-17 |
| 1730678996 | Rav Pharma LLC | Pharmacy | 450077 State Road 200 Ste 4, Callahan, FL 32011-3863 | 2018-05-03 |
| 1720538689 | Community Specialty Pharmacy, LLC | Pharmacy | 1617 34th St S Unit B, St Petersburg, FL 33711-2855 | 2016-10-04 |
| 1467909580 | Walgreen Specialty Pharmacy LLC | Pharmacy | 8325 S Park Cir, Ste 200, Orlando, FL 32819-9075 | 2016-09-07 |
| 1770932048 | Recept Pharmacy Lp | Pharmacy | 4011 Crescent Park Dr, Riverview, FL 33578-3605 | 2016-06-08 |
| 1417317447 | Sage Rx Specialty Pharmacy | Pharmacy | 3693 W Waters Ave # 1210, Tampa, FL 33614-2783 | 2016-03-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WALGREEN CO.
| 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.