WALGREEEN CO. (NPI# 1538488945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538488945 |
| Entity Type | Organization |
| Organization Name | WALGREEEN CO. |
| Practice Address |
9700 Argyle Forest Blvd Jacksonville FL 32222-2809 |
| Mailing Address |
9700 Argyle Forest Blvd. Jacksonville FL 32222-7918 |
| Practice Telephone | 9047780871 |
| Mailing Telephone | 9047780871 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |
| Authorized Official Name | MR. MANDEL JERMAINE HEARNS (PHARMACIST) |
| Authorized Official Telephone | 9047780871 |
| Authorized Official Credential | PHARM. D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PS33463 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 7979 | 05 |
| Street Address |
9700 ARGYLE FOREST BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32222-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497760680 | Walgreen Co | Pharmacy | 9700 Argyle Forest Blvd, Jacksonville, FL 32222-2809 | 2006-07-29 |
| 1932718715 | Lukeson Gideon Versulien | Pharmacist | 9700 Argyle Forest Blvd, Jacksonville, FL 32222-2809 | 2020-07-28 |
| 1851672190 | Mandel Jermaine Hearns | Pharmacist | 9700 Argyle Forest Blvd, Jacksonville, FL 32222-2809 | 2011-08-31 |
| 1306166210 | Veronica Elizabeth Mccoy | Pharmacist | 9700 Argyle Forest Blvd, Jacksonville, FL 32222-2809 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427690353 | Emergency Physicians Inc | Emergency Medicine | 9868 Family Place, Jacksonville, FL 32222 | 2019-10-11 |
| 1053874578 | Silver Linings Community Care, LLC. | Home Health Aide | 250 Cherry Ridge #1435, Jacksonville, FL 32222 | 2019-04-11 |
| 1588144802 | Fleming Total Support Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6760 Portofina Ct, Jacksonville, FL 32222 | 2018-08-16 |
| 1447736293 | Phyllis N Parrish | Home Health Aide | 10506 Innisbrook Dr, Jacksonville, FL 32222 | 2018-07-16 |
| 1851880793 | Keiarra Hendrick | Clinic/Center | 250 Cherry Ridge Dr Apt 1021, Jacksonville, FL 32222 | 2018-05-07 |
| 1427573310 | Priority Love & Care, Inc. | Voluntary or Charitable | 7283 Old Middleburg Rd S, Jacksonville, FL 32222 | 2017-08-11 |
| 1801334834 | Stacey Nicole Harden | Nurse Practitioner | 9785 Corsshill Blvd, Suite 108, Jacksonville, FL 32222 | 2017-02-09 |
| 1184031841 | Andrew Todd Pinder | Family Medicine | 8355 Merchants Gate Drive, Jacksonville, FL 32222 | 2014-07-15 |
| 1538455142 | Ricky Wallace | Social Worker | 10512 Innisbrook Drive, Jacksonville, FL 32222 | 2011-06-22 |
| 1477597680 | Kelly Lynne Broekhof | Registered Nurse | Bldg 2104 Massey Ave, Naval Station Mayport, Jacksonville, FL 32222 | 2006-06-16 |
| Find all providers in zip 32222 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1275191983 | University Pharmacy of Jacksonville, Inc | Pharmacy | 3901 University Blvd S Ste 237, Jacksonville, FL 32216-4390 | 2019-05-29 |
| 1992273023 | Public Square Pharmacy LLC | Pharmacy | 11757 Beach Blvd Ste 7, Jacksonville, FL 32246-6633 | 2018-11-07 |
| 1841707940 | Excel Pharmacy Partners LLC | Pharmacy | 6817 Southpoint Pkwy Ste 2204, Jacksonville, FL 32216-8200 | 2018-01-10 |
| 1144735556 | Costco Wholesale Corporation | Pharmacy | 8000 Parramore Rd, Jacksonville, FL 32244 | 2017-12-07 |
| 1912418286 | Av 1 Pharma LLC | Pharmacy | 1539 University Blvd N, Jacksonville, FL 32211-5229 | 2017-10-13 |
| 1629589908 | A V 2 Pharma LLC | Pharmacy | 1537 University Blvd N # Dn, Jacksonville, FL 32211-5229 | 2017-10-13 |
| 1881117109 | Summit Vision Inc. | Pharmacy | 3416 Moncrief Rd Ste 101, Jacksonville, FL 32209-4340 | 2017-07-18 |
| 1316486525 | Smart Pharmacy Inc | Pharmacy | 14003 Beach Blvd # 1, Jacksonville, FL 32250-1541 | 2017-02-21 |
| 1033565585 | New Lynk, LLC | Pharmacy | 5800 Beach Blvd Ste 105, Jacksonville, FL 32207-5180 | 2016-05-13 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32222 |
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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.