WALGREEN CO (NPI# 1518483213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518483213 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17613 |
| Practice Address |
9001 Sutphin Blvd Jamaica NY 11435-3631 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7185263824 |
| Practice Fax Number | 7182978492 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2019-09-27 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 036335 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05051170 | 05 | |
| NY | NCPDP | 5823605 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID #4274 | Doing Business As Name - Organization |
| Walgreens #17613 | 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 |
9001 SUTPHIN BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11435-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639208754 | Caroline Chiebonam Egbuna | Pharmacist | 9001 Sutphin Blvd, Jamaica, NY 11435-3631 | 2007-03-05 |
| 1053690727 | Julie Murdakh | Pharmacist | 9001 Sutphin Blvd, Jamaica, NY 11435-3631 | 2011-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1871114892 | Alternative Care Occupational Therapy, PC | Occupational Therapist | 149-16 Jamaica Ave, Jamaica, NY 11435 | 2020-04-30 |
| 1831737311 | Aminat Adams | Registered Nurse | 10753 Remitown Street, Jamaica, NY 11435 | 2019-12-16 |
| 1376180349 | Isabella Herold | Dietitian, Registered | 97-04 Sutphin Boulevard, Jamaica, NY 11435 | 2019-12-09 |
| 1235774654 | Angela Rose Torriero | Occupational Therapist | 90-36 150th Street, Jamaica, Queens, NY 11435 | 2019-11-08 |
| 1396386009 | Alexandra Mikyung Kim | Registered Nurse | 90-27 Sutphin Boulevard, Jamaica, NY 11435 | 2019-10-03 |
| 1043782097 | Louis E Krigger | Counselor | Restfull Nights Corporation, 106-38 150th St, Jamaica, NY 11435 | 2018-12-31 |
| 1407326093 | Syretta Henry | Social Worker | 90-27 Sutphin Blvd 5th Floor, Jamaica, NY 11435 | 2018-11-27 |
| 1972083277 | Debra Witherspoon-benders | Licensed Vocational Nurse | Samaritan Daytop Village 138-02 Queens Boulevard, Briarwood, NY 11435 | 2018-08-16 |
| 1982182895 | Emmanuel Oszwa Odigie | Respite Care | 148-13 Hillside Ave, 2nd Fl Briarwood, Briarwood, NY 11435 | 2018-08-02 |
| Find all providers in zip 11435 | ||||
| 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 |
|---|---|---|---|---|
| 1609486562 | Phils Pill Pharmacy, Inc | Pharmacy | 8387 Woodhaven Blvd, Jamaica, NY 11421-1533 | 2020-08-05 |
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1316410905 | Zone Pharmacy Inc | Pharmacy | 12520 111th Ave, Jamaica, NY 11420-1537 | 2019-01-07 |
| 1033602271 | Di Pharmacy Corp | Pharmacy | 18217 Jamaica Ave, Jamaica, NY 11423-2327 | 2018-06-12 |
| 1003335597 | Hillside Rx Inc | Pharmacy | 159-22 Hillside Ave, Jamaica, NY 11432 | 2017-09-15 |
| 1487172102 | M & D Elite Pharmacy LLC | Pharmacy | 239-19 Braddock Ave, Jamaica, NY 11426-7209 | 2017-09-01 |
| 1255871356 | Merrick Blvd Pharmacy Inc | Pharmacy | 10950 Merrick Blvd, Jamaica, NY 11433-3039 | 2017-03-08 |
| 1073977633 | Aids Healthcare Foundation | Pharmacy | 16121 Jamaica Ave # 7, Jamaica, NY 11432-6113 | 2016-04-11 |
| 1750747366 | Halim Corp | Pharmacy | 17004 Hillside Ave, Jamaica, NY 11432-4547 | 2016-01-12 |
| 1386014017 | Health and Comfort Rx Inc. | Pharmacy | 147-16 Jamaica Ave, Jamaica, NY 11432-3630 | 2015-10-07 |
| Find all providers in JAMAICA | ||||
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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.