WALGREEN CO (NPI# 1497761936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497761936 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #04385 |
| Practice Address |
770 W 29th St Hialeah FL 33012-5606 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 3058842720 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2018-05-04 |
| 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 | PH0016237 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 106498300 | 05 | |
| FL | 106498301 DME | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1083550 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04385 | 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 |
770 W 29TH ST |
| City | HIALEAH |
| State | FL |
| Zip Code | 33012-5606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295268043 | Yesenia Nieves | Pharmacist | 770 W 29th St, Hialeah, FL 33012-5606 | 2017-04-09 |
| 1083997597 | Miry Besalis | Pharmacist | 770 W 29th St, Hialeah, FL 33012-5606 | 2011-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324160 | Maria Antonia Espinosa | Behavior Technician | 520 W 38th Pl, Hialeah, FL 33012 | 2019-09-08 |
| 1972157428 | Fernandez Orthofeet Corp | Prosthetic/Orthotic Supplier | 3750 W 16th Ave Suite 102, Hialeah, FL 33012 | 2019-08-01 |
| 1790267045 | Teresita De Jesus Santander | Nurse Practitioner | 1414 West 43dr Pl, Hialeah, FL 33012 | 2018-09-04 |
| 1245721760 | Physical Therapy Now of South Florida LLC | Clinic/Center | 3595 West 20 Ave Ste B, Hialeah, FL 33012 | 2018-05-21 |
| 1346741618 | Yamirka Sanchez Perez | General Practice | 1840 W 49th St Ste 105, Hialeah, FL 33012 | 2018-02-22 |
| 1356840334 | Janet Rodriguez | Behavior Technician | 5430 W 10th Ct, Hialeah, FL 33012 | 2018-02-06 |
| 1235644642 | Gustavo Brache | Massage Therapist | 3905 West 20 Avenue, Suite 125, Hialeah, FL 33012 | 2017-12-07 |
| 1962911487 | Yenisey Garabito | Behavior Technician | 1805west 56st Apt 109, Hialeah, FL 33012 | 2017-09-27 |
| 1023536026 | Florida Dental Alliance | Dentist | 4355 W 16 Ave Suite, #205a, Hialeah, FL 33012 | 2017-08-30 |
| 1861919508 | Masury Montes De Oca | Behavior Technician | 261 W 35 Street, Hialeah, FL 33012 | 2017-08-24 |
| Find all providers in zip 33012 | ||||
| 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 |
|---|---|---|---|---|
| 1619337177 | Veilee Corporation | Pharmacy | 380 E 9th St Ste 7, Hialeah, Hialeah, FL 33010-4260 | 2016-02-26 |
| 1518346410 | Optimun Rx Pharmacy LLC | Pharmacy | 6900 W 32nd Ave Ste 16, Hialeah, FL 33018-5228 | 2015-05-26 |
| 1356753818 | La Botica Pharmacy Inc No2 | Pharmacy | 1159 W 29th St, Hialeah, FL 33012-5063 | 2014-06-02 |
| 1952720963 | Zuma Pharmacy Inc | Pharmacy | 554 Hialeah Dr, Hialeah, FL 33010-5349 | 2014-04-08 |
| 1376986034 | Publix Super Markets Inc | Pharmacy | 3339 W 80th St, Hialeah, FL 33018-5065 | 2013-04-12 |
| 1306187448 | Chang's Pharmacy Inc | Pharmacy | 2800 W 84th St Unit 2, Hialeah, FL 33018-4922 | 2013-03-14 |
| 1356682660 | Everybody's Pharmacy & Discount Inc | Pharmacy | 7830 Nw 178th St # St32, Hialeah, FL 33015-3649 | 2013-03-12 |
| 1144567884 | La Ideal Pharmacy & Discount | Pharmacy | 4920 E 4 Ave, Hialeah, FL 33012 | 2013-01-15 |
| 1689937005 | Publix Super Markets Inc | Pharmacy | 1290 W 68th St, Hialeah, FL 33014-4524 | 2012-06-20 |
| 1023382512 | Speed II Phamacy | Pharmacy | 2900 W 12th Ave Ste 4, Hialeah, FL 33012-4861 | 2012-02-29 |
| Find all providers in HIALEAH | ||||
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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.