WALGREEN CO


Address: 6195 S Five Mile Rd, Boise, ID 83709-6202
Phone: 2083190191

WALGREEN CO (NPI# 1477870103) 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) 1477870103
Entity Type Organization
Organization Name WALGREEN CO
Other Organization Name WALGREENS #11083
Practice Address 6195 S Five Mile Rd
Boise
ID 83709-6202
Mailing Address 1901 E Voorhees St
Ms 790
Danville
IL 61834-4509
Practice Telephone 2083190191
Mailing Telephone 2177092386
Mailing Fax Number 2177092344
Enumeration Date 2010-04-20
Last Update Date 2019-03-28
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 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 333600000X Pharmacy 38495RP ID Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP 1308370 01
ID 1477870103 05

Other Provider/Organization Names

Other Name Type Code
Walgreens #11083 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 6195 S FIVE MILE RD
City BOISE
State ID
Zip Code 83709-6202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366726853 Sarah Anne Tarantino Pharmacist 6195 S Five Mile Rd, Boise, ID 83709-6202 2011-10-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427655398 Jayme Rossow Occupational Therapist 101 S. Allumbaugh Way, Boise, ID 83709 2020-10-05
1578195285 Kara Taylor Counselor 9196 W Barnes St., Boise, ID 83709 2020-02-11
1164080164 Elena Stamm Audiologist 10000 W Amity Rd, Boise, ID 83709 2019-06-04
1326550096 Lawrence D Anderson Md Estate Optometrist 8955 W Hackamore Dr, Boise, ID 83709 2017-11-02
1457879975 Mark Aaron Phelan Registered Nurse 779 S. Tennyson Way, Boise, ID 83709 2017-09-05
1235665290 Sharon Nelson Dietitian, Registered 2790 S Goshen Way, Boise, ID 83709 2017-05-11
1982139622 First Choice Healthcare, Inc. Home Health 12400 W. Overland Rd., Ste 100, Boise, ID 83709 2017-05-01
1801320254 Deborah Carson Social Worker 8349 West Harmonica Way, Boise, ID 83709 2017-04-12
1114479862 Allyson Anne Bates Nurse Practitioner 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 2016-10-28
1508221391 Elisha L. Garrison Counselor 9196 W. Barnes Street, Boise, ID 83709 2015-12-21
Find all providers in zip 83709

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
1386985851 Jfk Clinic Pharmacy 150 N Capitol Blvd, Boise, ID 83702-5920 2013-03-08
1588743058 Z Inc Pharmacy 10565 Lake Hazel Rd, Boise, ID 83709 2006-11-03
1346267697 Walmart Inc. Pharmacy 7319 W State St, Boise, ID 83714-6051 2006-07-16
1376588442 Fred Meyer Stores Inc Pharmacy 5230 W Franklin Rd, Boise, ID 83705-1109 2006-06-20
1255379491 Albertsons LLC Pharmacy 1653 S Vista Ave, Boise, ID 83705 2006-06-02
1003862517 Albertsons LLC Pharmacy 6560 S Federal Way, Boise, ID 83716 2006-05-26
1346236650 Home Living Services, Inc Pharmacy 106 S Cole Rd, Boise, ID 83709-0932 2005-09-22
1538534078 Medsync Pharmacy Pharmacy 801 S Vista Ave, Boise, ID 83705-2424 2015-12-09
1346680683 Veterans Pharma Incorporated Pharmacy 9196 W Emerald St, Suite 110, Boise, ID 83704-0679 2013-07-01
1891047791 The Family Medicine Residency of Idaho Inc Pharmacy 6565 W Emerald St, Boise, ID 83704-8737 2012-10-03
Find all providers in BOISE

Competitor

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City BOISE
Zip Code 83709

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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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