WALGREEN CO (NPI# 1518483866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518483866 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #19536 |
| Practice Address |
467 Salem St Medford MA 02155-3336 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7813968350 |
| Practice Fax Number | 7813961499 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2019-06-07 |
| 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 | DS90148 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NCPDP | 2246355 | 01 |
| MA | 0403351 | 05 |
| Other Name | Type Code |
|---|---|
| Rite Aid #10168 | Doing Business As Name - Organization |
| Rite Aid #19536 | Doing Business As Name - Organization |
| Walgreens #19536 | 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 |
467 SALEM ST |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-3336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750512430 | Richard L Anderson | Pharmacist | 467 Salem St, Medford, MA 02155-3336 | 2009-07-29 |
| 1013432350 | Taylor Ann Yeakey | Pharmacist | 467 Salem St, Medford, MA 02155-3336 | 2017-08-08 |
| 1487198537 | April Huynh | Pharmacist | 467 Salem St, Medford, MA 02155-3336 | 2016-12-08 |
| 1598174393 | Thang C Le | Pharmacist | 467 Salem St, Medford, MA 02155-3336 | 2014-08-05 |
| 1285068437 | April P Parker | Pharmacist | 467 Salem St, Medford, MA 02155-3336 | 2013-08-23 |
| 1366755589 | Ketan C Patel | Pharmacist | 467 Salem St, Medford, MA 02155-3336 | 2010-07-16 |
| 1417275579 | Nhi Thi Tran | Pharmacist | 467 Salem St, Medford, MA 02155-3336 | 2010-05-13 |
| 1366760746 | Nancy C Ganley | Pharmacist | 467 Salem St, Medford, MA 02155-3336 | 2010-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| 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 |
|---|---|---|---|---|
| 1598186595 | Pharmacy 112 Inc. | Pharmacy | 2608 Route 112 # B, Medford, NY 11763-2551 | 2013-12-18 |
| 1669721239 | Medford Compounding & Specialty Pharmacy LLC | Pharmacy | 2612 Route 112, Medford, NY 11763-2522 | 2012-08-29 |
| 1255623401 | Downtown Pharmacy Inc. | Pharmacy | 3528 Lone Pine Rd # 2, Medford, OR 97504-5668 | 2011-05-06 |
| 1063682805 | Wellness Compounding Pharmacy | Pharmacy | 522 Crater Lake Ave, Medford, OR 97504-6810 | 2008-03-07 |
| 1235236175 | Kennedy Drug Co | Pharmacy | 107 E Cherokee St, Medford, OK 73759-1209 | 2006-09-20 |
| 1275545857 | Shore Pharmacy | Pharmacy | 429 High St, Medford, MA 02155-3632 | 2006-08-12 |
| 1073545943 | Stop and Shop Supermarket Co LLC | Pharmacy | 760 Fellsway, Medford, MA 02155-4926 | 2006-07-07 |
| 1609808559 | Stop and Shop Supermarket Co LLC | Pharmacy | 70030 Patchogue Yaphank Road, Medford, NY 11763 | 2006-07-07 |
| 1174568562 | Fred Meyer Stores Inc | Pharmacy | 1301 Center Dr, Medford, OR 97501-7938 | 2006-06-18 |
| 1659312023 | Downtown Pharmacy Inc | Pharmacy | 333 N Riverside Ave, Medford, OR 97501-5937 | 2006-06-09 |
| Find all providers in MEDFORD | ||||
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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.