WALGREEN CO (NPI# 1508871534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508871534 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #5549 |
| Practice Address |
804 W Market St Warren OH 44485-1038 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 3303933033 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-11-26 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 02-1186050 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3667613 | 01 | |
| OH | 2152996 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #5549 | 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 |
804 W MARKET ST |
| City | WARREN |
| State | OH |
| Zip Code | 44485-1038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710254941 | Pamela Carlene Folman | Pharmacist | 804 W Market St, Warren, OH 44481-1038 | 2011-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284752 | Heather Lynn Ayres | Technician | 4046 North Leavitt Rd Nw, Warren, OH 44485 | 2020-10-29 |
| 1730576315 | Jeanetta Chatmon | Community Health Worker | 1447 Kensington St. Nw, Warren, OH 44485 | 2015-04-21 |
| 1003201351 | Laneka Oliver | Home Health | 1655 Denison Ave, Warren, OH 44485 | 2015-04-03 |
| 1437401155 | Rhoda Darlene Killingworth | Nurse's Aide | 1510 Arthur Dr Nw, Warren, OH 44485 | 2012-10-04 |
| 1477844033 | Lakshmi Padmanabhan | Pharmacist | 1560 Parkman Road, Rite Aid Pharmacy, Warren, OH 44485 | 2011-04-29 |
| 1225332422 | Dashah Brendae Adams | Licensed Practical Nurse | 3270 Dunstan Dr. Nw, Warren, OH 44485 | 2011-01-03 |
| 1982854188 | Deanna Lynne Nussle | Registered Nurse | 1480 Tod Ave, Warren, OH 44485 | 2008-09-24 |
| 1003093170 | Kila E Mcghee | Home Health | 1108 Tod Ave Nw, Warren, OH 44485 | 2008-01-30 |
| 1639372816 | Stella L Reese | Home Health Aide | 1890 Northfield Nw, Attn Karen Morgan, Warren, OH 44485 | 2007-06-06 |
| 1417016239 | Laura Marie Buck | Counselor | Louis Stokes Cleveland Medical Center, 1406 Tod Ave Nw Warren Va Cboc, Warren, OH 44485 | 2006-12-07 |
| Find all providers in zip 44485 | ||||
| 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 |
|---|---|---|---|---|
| 1043836042 | Hanan Pharmacy LLC | Pharmacy | 4600 E 14 Mile Road, Suite 2, Warren, MI 48092-1057 | 2020-06-25 |
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1972163749 | Ryan Rx LLC | Pharmacy | 29230 Ryan Rd Ste B, Warren, MI 48092-4274 | 2019-06-14 |
| 1821573130 | Matrix Pharmacy,llc | Pharmacy | 5827 E 13 Mile Rd, Warren, MI 48092-1512 | 2018-10-02 |
| 1104315597 | Yourx Pharmacy LLC | Pharmacy | 29134 Ryan Rd, Warren, MI 48092-4241 | 2018-05-01 |
| 1245733609 | Abe's Drug Store LLC | Pharmacy | 13770 E 12 Mile Rd, Warren, MI 48088-3751 | 2018-03-13 |
| 1194244780 | New Deshi Pharmacy LLC | Pharmacy | 28685 Ryan Rd, Warren, MI 48092-4124 | 2017-09-14 |
| 1013453950 | Abe S Pharmacy LLC | Pharmacy | 13760 E 12 Mile Rd Ste B, Warren, MI 48088-3751 | 2017-01-17 |
| 1609233162 | Lansing Specialty Pharmacy LLC | Pharmacy | 11890 E 10 Mile Rd, Warren, MI 48089-3901 | 2016-01-28 |
| 1275906554 | Champion Discount Pharmacy, LLC | Pharmacy | 4299 Mahoning Ave Nw, Warren, OH 44483-1928 | 2015-11-09 |
| Find all providers in WARREN | ||||
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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.