WALGREEN CO (NPI# 1518480888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518480888 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17138 |
| Practice Address |
104 Pedro Way Winchester KY 40391 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2177092386 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | KIRA TAYLOR (MANAGER) |
| Authorized Official Telephone | 2177092351 |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BOARD OF PHARMACY | PO7920 | 01 |
| KY | 7100508100 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID | Doing Business As Name - Organization |
| Walgreens #17138 | 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 |
104 PEDRO WAY |
| City | WINCHESTER |
| State | KY |
| Zip Code | 40391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275884173 | Tam Nhu Ho | Pharmacist | 104 Pedro Way, Winchester, KY 40391-0040 | 2012-10-02 |
| 1346610078 | Rite Aid | Pharmacy | 104 Pedro Way, Winchester, KY 40391-8354 | 2015-10-07 |
| 1598179012 | Michael Reed | Pharmacist | 104 Pedro Way, Winchester, KY 40391-8802 | 2014-06-12 |
| 1588077168 | Joshua Lykins | Pharmacist | 104 Pedro Way, Winchester, KY 40391-8354 | 2014-06-11 |
| 1447664081 | Holly Shearer | Pharmacist | 104 Pedro Way, Winchester, KY 40391-1111 | 2014-06-11 |
| 1003992108 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 104 Pedro Way, Winchester, KY 40391-8354 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255838710 | Sharrock Strength and Rehab LLC | Clinic/Center | 1932 Bypass Road, Winchester, KY 40391 | 2018-04-11 |
| 1316264385 | Yvonne Marie Pendleton | Massage Therapist | 126 Professional Ave., Winchester, KY 40391 | 2010-04-29 |
| 1346478310 | Mack Anderson Kidd IIi | Registered Nurse | 105 Lindberg Rd., Winchester, KY 40391 | 2009-06-29 |
| 1043487572 | Rankin Douglas Skinner | Dentist | 726 Boonesboro Plaza, Winchester, KY 40391 | 2008-05-14 |
| 1427233592 | Clark County Health Department | Public Health or Welfare | 244 E. Broadway, Shearer Elementary School, Winchester, KY 40391 | 2008-01-08 |
| 1437334505 | Clark County Health Department | Public Health or Welfare | 250 N. Main St., Fannie Bush Elementary, Winchester, KY 40391 | 2008-01-08 |
| 1598886251 | Winchester Open Mri | Radiology | 475 Shoppers Village Drive, Winchester, KY 40391 | 2007-04-02 |
| 1265509285 | James Warren Rice | Orthopaedic Surgery | 400 Shoppers Dr, Winchester, KY 40391 | 2006-11-29 |
| 1932279262 | J Todd Scobee Dmd Psc | Clinic/Center | 1216 West Lexington Ave, Winchester, KY 40391 | 2006-11-08 |
| 1396823936 | Commonwealth Urology, Psc | Urology | 68 East Elkin Street, Stanton, KY 40391 | 2006-11-01 |
| Find all providers in zip 40391 | ||||
| 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 |
|---|---|---|---|---|
| 1114339959 | Dr. Terry Sinclair Health Clinic, Inc. Pharmacy | Pharmacy | 301 N Cameron Street., Suite 100, Winchester, VA 22601 | 2014-05-28 |
| 1750671368 | The Wellness Pharmacy | Pharmacy | 2228 Papermill Rd, Suite E, Winchester, VA 22601-3681 | 2011-04-15 |
| 1508944620 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 1725 Amherst St, Winchester, VA 22601 | 2006-11-02 |
| 1306920434 | Blue Front Drug, Inc | Pharmacy | 107 1st Ave Nw, Winchester, TN 37398-1643 | 2006-10-25 |
| 1225119563 | Giant Food Stores, LLC | Pharmacy | 200 Rivendell Court, Winchester, VA 22603 | 2006-10-17 |
| 1770676140 | Food Lion LLC | Pharmacy | 2047 S Pleasant Valley Rd, Winchester, VA 22601-7001 | 2006-09-30 |
| 1982701819 | Med Win Inc | Pharmacy | 568 Main St, Winchester, MA 01890-1953 | 2006-09-20 |
| 1427082247 | Kroger Limited Partnership I | Pharmacy | 1661 Bypass Rd # 1958, Winchester, KY 40391-2715 | 2006-07-10 |
| 1497787410 | Giant Food Stores LLC | Pharmacy | 400 Gateway Drive, Winchester, VA 22603 | 2006-07-07 |
| 1861424889 | Giant Food Stores LLC | Pharmacy | 1950 S Pleasant Valley Rd, Winchester, VA 22601-4400 | 2006-07-07 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 40391 |
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.