WALGREEN CO (NPI# 1477847275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477847275 |
Entity Type | Organization |
Organization Name | WALGREEN CO |
Other Organization Name | WALGREENS #15131 |
Practice Address |
631 Professional Dr Ste 100 Lawrenceville GA 30046 |
Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
Practice Telephone | 7703392029 |
Mailing Telephone | 2177092386 |
Mailing Fax Number | 2177092344 |
Enumeration Date | 2011-06-09 |
Last Update Date | 2018-08-17 |
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 | PHRE009774 | GA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 7G9774 | 05 | |
GA | NCPDP | 1161544 | 01 |
GA | 003113828A | 05 |
Other Name | Type Code |
---|---|
Walgreens #15131 | 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 |
631 PROFESSIONAL DR STE 100 |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30046 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407882434 | Jennifer Lee Powers | Pharmacist | 631 Professional Dr Ste 100, Lawrenceville, GA 30046-3367 | 2006-06-23 |
1891307278 | Christina Deriggs | Pharmacist | 631 Professional Dr Ste 100, Lawrenceville, GA 30046-3370 | 2020-08-18 |
1811508997 | Erica Gray | Pharmacist | 631 Professional Dr Ste 100, Lawrenceville, GA 30046-3370 | 2020-08-12 |
1003185208 | Deepti G. Patel | Pharmacist | 631 Professional Dr Ste 100, Lawrenceville, GA 30046-3370 | 2011-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
Find all providers in zip 30046 |
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 |
---|---|---|---|---|
1306346788 | Collaborativerx | Pharmacy | 311 Gwinnett Dr Ste 250, Lawrenceville, GA 30046-5671 | 2018-02-13 |
1558733444 | Totalcare Pharmacy | Pharmacy | 845 Scenic Hwy Ste 200, Lawrenceville, GA 30046-7101 | 2015-10-30 |
1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
1093035420 | Lai Drug Company Inc | Pharmacy | 470 N Clayton St Ste 101, Lawrenceville, GA 30046-4872 | 2010-06-08 |
1184946196 | S&k Healthcare LLC | Pharmacy | 1880 Braselton Hwy Ste 121, Lawrenceville, GA 30043-2877 | 2010-02-17 |
1871606301 | Penlar Pharmacy Inc | Pharmacy | 160 Lawrenceville Pennington Rd, Lawrenceville, NJ 08648-1470 | 2006-08-17 |
1609881226 | Szs Inc Mcgrath Pharmacy | Pharmacy | 1251 Lawrence Rd, Lawrenceville, NJ 08648-3545 | 2006-07-30 |
1528081718 | Clarke-smith Pharmacy Inc | Pharmacy | 227 North Main Street, Lawrenceville, VA 23868 | 2006-07-26 |
1518908011 | Publix Super Markets Inc | Pharmacy | 911 Duluth Hwy, Lawrenceville, GA 30043-5320 | 2006-06-08 |
1497386122 | Kingdom Crowns Hair Studio | Pharmacy | 316 W Pike St Ste 202g, Lawrenceville, GA 30046-4878 | 2020-01-31 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 30046 |
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.