WALGREEN CO (NPI# 1487669610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487669610 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #09094 |
| Practice Address |
1420 W Oakland Ave Austin MN 55912-1652 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 5073960197 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2016-08-29 |
| Authorized Official Name | MR. ALAN T NIELSEN (TREASURER) |
| Authorized Official Telephone | 8473153523 |
| 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 | 262465 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0200426 | 05 | |
| MN | 632628500 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2426117 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #09094 | 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 |
1420 W OAKLAND AVE |
| City | AUSTIN |
| State | MN |
| Zip Code | 55912-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703305 | Sarah Kruckeberg | Pharmacist | 1420 W Oakland Ave, Austin, MN 55912-1652 | 2020-09-02 |
| 1932710050 | Kayla Huls | Pharmacist | 1420 W Oakland Ave, Austin, MN 55912-1652 | 2020-08-12 |
| 1174922579 | Johnny Butts | Pharmacist | 1420 W Oakland Ave, Austin, MN 55912-1652 | 2014-08-21 |
| 1043590508 | Jennifer Thorne | Pharmacist | 1420 W Oakland Ave, Austin, MN 55912-1652 | 2011-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1669029831 | David Kuehn | Specialist/Technologist | 1508 Main St. N, Austin, MN 55912 | 2019-08-22 |
| 1841844396 | Heather A Peterson | Social Worker | 101 21st Street Se, Austin, MN 55912 | 2019-08-01 |
| 1477058287 | Gerard Academy | Counselor | 1101 28th St Ne, Austin, MN 55912 | 2018-03-26 |
| 1821518739 | Steven Register | Specialist/Technologist | 1803 2nd Ave Sw, Austin, MN 55912 | 2017-06-21 |
| 1366849259 | Kristen Ashley Templeton | Dentist | 800 1st Avenue Sw, Austin, MN 55912 | 2014-11-20 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1780923458 | Kurt Baumgartner | Hearing Instrument Specialist | 507 1 St Nw, Austin, MN 55912 | 2013-01-31 |
| 1396059242 | Lorna Kay Siefke-harbor | Psychologist | 902 19th Ave Sw, Austin, MN 55912 | 2010-08-03 |
| 1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
| Find all providers in zip 55912 | ||||
| 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 |
|---|---|---|---|---|
| 1518597780 | Docstation Inc. | Pharmacy | 2011 E 10th St, Austin, TX 78702-3409 | 2020-01-16 |
| 1528607157 | River City Pharmacy LLC | Pharmacy | 4150 Freidrich Ln Ste 1, Austin, TX 78744-1800 | 2019-12-30 |
| 1407345143 | Chemist Laboratory, LLC | Pharmacy | 3944 Ranch Road 620 S Bldg 6, Austin, TX 78738-6301 | 2018-05-08 |
| 1275030389 | Medlogs Inc. | Pharmacy | 2121 W Parmer Ln Ste 103c, #103c, Austin, TX 78727-4351 | 2018-04-06 |
| 1457857922 | Specialty Apothecary Group LLC | Pharmacy | 4515 Seton Center Pkwy Ste 175, Austin, TX 78759-5730 | 2018-04-03 |
| 1699295089 | Hgs Pharmacy LLC | Pharmacy | 9434 Parkfield Dr Ste A, Austin, TX 78758-6227 | 2017-06-26 |
| 1245765163 | Hhsc Wic Program | Pharmacy | 4616 W Howard Ln Ste 840, Austin, TX 78728-6300 | 2017-04-28 |
| 1285084467 | A.e. Pharmacy, LLC | Pharmacy | 220 Industrial Blvd Ste 100, Austin, TX 78745-1276 | 2016-06-17 |
| 1396194825 | Austin-travis County Mental Health and Mental Retardation | Pharmacy | 5015 S Interstate 35, Suite 200 C, Austin, TX 78744-2713 | 2016-06-06 |
| 1730537366 | Agape Force Solutions Inc | Pharmacy | 10401 Anderson Mill Rd Ste 112b, Austin, TX 78750-2579 | 2016-05-24 |
| Find all providers in AUSTIN | ||||
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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.