WALGREEN CO (NPI# 1528263308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528263308 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #09616 |
| Practice Address |
16020 Perris Blvd Moreno Valley CA 92551-4618 |
| Mailing Address |
1901 E Voorhees St Ms #790 Danville IL 61834-4509 |
| Practice Telephone | 9512472113 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2018-10-08 |
| 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 | PHY48662 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER | 5627243 | 01 | |
| CA | PHA486620 | 05 | |
| CA | 1528263308 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #09616 | 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 |
16020 PERRIS BLVD |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92551-4618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881246882 | Thanh Vy Thi Nguyen | Pharmacist | 16020 Perris Blvd, Moreno Valley, CA 92551-4618 | 2019-07-10 |
| 1043755499 | Jim Dulay | Pharmacist | 16020 Perris Blvd, Moreno Valley, CA 92551-4618 | 2016-12-21 |
| 1659778439 | Allison Hong Dang | Pharmacist | 16020 Perris Blvd, Moreno Valley, CA 92551-4618 | 2014-11-23 |
| 1760806491 | Desmond Hutauruk | Pharmacist | 16020 Perris Blvd, Moreno Valley, CA 92551-4618 | 2014-02-18 |
| 1275800229 | Joann Lozada Corrales | Pharmacist | 16020 Perris Blvd, Moreno Valley, CA 92551-4618 | 2011-11-18 |
| 1902183171 | Quang Xuan Phan | Pharmacist | 16020 Perris Blvd, Moreno Valley, CA 92551-4618 | 2011-11-15 |
| 1811274087 | Rosalinda R Yparraguirre | Pharmacist | 16020 Perris Blvd, Moreno Valley, CA 92551-4618 | 2011-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730735549 | Geraldine Reed-lewis | Technician | 24805 Quenada Dr., Moreno Valley, CA 92551 | 2019-08-16 |
| 1003330176 | Xochitl Estrada Marroquin | Behavioral Analyst | 24458 Liolios Way, Moreno Valley, CA 92551 | 2017-07-31 |
| 1124407291 | Lynelle Chapman | Marriage & Family Therapist | 16339 Silverbirch Rd, Morenovalley, CA 92551 | 2015-05-22 |
| 1225298904 | Fy Eye Optometry Group Inc | Optometrist | 27100 Eucalyptus, Moreno Valley, CA 92551 | 2008-06-16 |
| 1407945306 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 15025 Perris Blvd, Moreno Valley, CA 92551 | 2006-10-11 |
| 1033487327 | Red Maple Mtu | Public Health or Welfare | 25100 Red Maple Ln Bldg H, Moreno Valley, CA 92551-1120 | 2011-12-01 |
| 1780910984 | Michael Robert Thomas | Physical Therapy Assistant | 16420 Perris Blvd, Moreno Valley, CA 92551-1135 | 2009-10-22 |
| 1386190866 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 16420 Perris Blvd, Suite Q, Moreno Valley, CA 92551-1135 | 2016-08-25 |
| 1316292741 | Beautiful Skin Essentials Inc | Registered Nurse | 16420 Perris Blvd, Suite #l, Moreno Valley, CA 92551-1135 | 2012-07-23 |
| 1265754055 | Reza Farahanchi | Acupuncturist | 16420 Perris Blvd, Moreno Valley, CA 92551-1135 | 2010-02-19 |
| Find all providers in zip 92551 | ||||
| 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 |
|---|---|---|---|---|
| 1740729763 | Giriraj Corporation | Pharmacy | 24825 Alessandro Blvd Ste 2, Moreno Valley, CA 92553-5851 | 2017-02-23 |
| 1578805289 | Kaiser Foundation Health Plan Inc | Pharmacy | 27200 Iris Ave Mob 2, Fl 3, Moreno Valley, CA 92555-4802 | 2013-03-20 |
| 1659663235 | Riddhi Pharmacy Corporation | Pharmacy | 22635 Alessandro Blvd Ste E, Moreno Valley, CA 92553-8550 | 2011-05-13 |
| 1073660395 | Kaiser Foundation Health Plan Inc | Pharmacy | 12815 Heacock St Fl 2, Moreno Valley, CA 92553-3116 | 2007-01-05 |
| 1982773834 | Siddhaye Corp | Pharmacy | 12818 Heacock St, Ste C 5, Moreno Valley, CA 92553-3173 | 2006-11-07 |
| 1154436178 | Pravin Darji | Pharmacy | 12980 Frederick St Ste B, Moreno Valley, CA 92553-5263 | 2006-08-20 |
| 1932142718 | Raafat George Gerges | Pharmacy | 12730 Heacock St Ste 1, Moreno Valley, CA 92553-3040 | 2006-06-13 |
| 1104310812 | Girish R Shah | Pharmacy | 12721 Moreno Beach Dr, Moreno Valley, CA 92555-4411 | 2018-06-15 |
| 1831573963 | B P L P A Pharmacy Corporation | Pharmacy | 12730 Heacock St Ste 1, Moreno Valley, CA 92553-3040 | 2015-07-18 |
| 1659617124 | Kaiser Foundation Health Plan Inc | Pharmacy | 27200 Iris Ave, Mob 2 Fl 1, Moreno Valley, CA 92555-4802 | 2013-01-02 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92551 |
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.