WALGREEN CO (NPI# 1558376558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558376558 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #02161 |
| Practice Address |
2471 Jackson Ave Memphis TN 38108-3318 |
| Mailing Address |
1901 E Voorhees St Mailstop #790 Danville IL 61834-4509 |
| Practice Telephone | 9014541615 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-08-31 |
| Authorized Official Name | MR. ALAN T NIELSEN (TREASURER) |
| Authorized Official Telephone | 8473153523 |
| 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 | C1877 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4423771 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4423771 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #02161 | 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 |
2471 JACKSON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38108-3318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548873060 | David Quenten Brannon II | Pharmacist | 2471 Jackson Ave, Memphis, TN 38108-3318 | 2020-08-25 |
| 1730790395 | Harriet N Muthondu | Pharmacist | 2471 Jackson Ave, Memphis, TN 38108-3318 | 2020-08-16 |
| 1053747436 | Shundraneka L Thaxter | Pharmacist | 2471 Jackson Ave, Memphis, TN 38108-3318 | 2013-09-18 |
| 1033472097 | Tracey Shotwell | Pharmacist | 2471 Jackson Ave, Memphis, TN 38108-3318 | 2012-06-24 |
| 1982976338 | Jennifer Moll | Pharmacist | 2471 Jackson Ave, Memphis, TN 38108-3318 | 2012-02-01 |
| 1447563309 | Kenneth Thomas Stewart | Pharmacist | 2471 Jackson Ave, Memphis, TN 38108-3318 | 2010-07-21 |
| 1659682151 | Rita Davis-deas | Pharmacist | 2471 Jackson Ave, Memphis, TN 38108-3318 | 2010-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295208429 | Danny Winston B Robillo | Physical Therapist | 1143 Cully Road, Cordova, TN 38108 | 2019-01-10 |
| 1114235363 | Nikita Nicole Bratcher-johnson | Occupational Therapist | 1755 Eldridge Ave, Memphis, TN 38108-1115 | 2010-09-22 |
| 1770608457 | St. Clare Health and Rehab, LLC. | Intermediate Care Facility, Mental Illness | 1755 Eldridge Ave., Memphis, TN 38108-1115 | 2007-03-20 |
| 1093255101 | Ave Maria Home Dba St. Clare Health and Rehab, LLC | Skilled Nursing Facility | 1755 Eldridge Ave, Memphis, TN 38108-1115 | 2017-03-08 |
| 1033643549 | One and Only Resources Inc | Home Health | 1463 Britton St, Memphis, TN 38108-1304 | 2017-04-12 |
| 1154812790 | Brittany Sneed | Adult Companion | 2030 Nedra Ave, Memphis, TN 38108-1347 | 2018-05-18 |
| 1184117731 | Supportive Homecare, LLC | Adult Companion | 2030 Nedra Ave, Memphis, TN 38108-1347 | 2018-06-08 |
| 1700872975 | Gloria J Pryor | Dentist | 2410 Chelsea Ave, Memphis, TN 38108-1515 | 2005-09-23 |
| 1326404963 | Nicholas Cornell Brooks | Dentist | 2410 Chelsea Ave, Memphis, TN 38108-1515 | 2016-01-12 |
| 1538331533 | G J Pryor | Clinic/Center | 2410 Chelsea Ave, Memphis, TN 38108-1515 | 2008-03-31 |
| Find all providers in zip 38108 | ||||
| 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 |
|---|---|---|---|---|
| 1649785908 | Joys Harbor Town Pharmacy | Pharmacy | 103 Harbor Town Sq, Memphis, TN 38103-8884 | 2017-12-08 |
| 1376082123 | Bensons Pharmacy II | Pharmacy | 6005 Park Ave Ste 121b, Memphis, TN 38119-5202 | 2017-02-13 |
| 1932550134 | Dnl Pharmacy LLC | Pharmacy | 2900 Kirby Rd Ste 5, Memphis, TN 38119-8205 | 2016-06-29 |
| 1477915940 | Wal-mart Stores East Lp | Pharmacy | 6727 Raleigh Lagrange Rd, Memphis, TN 38134-7017 | 2016-03-24 |
| 1134463425 | Advantage Pharmacy LLC | Pharmacy | 2175 Business Center Dr Ste 6, Memphis, TN 38134-5628 | 2012-11-27 |
| 1053613851 | Christ Community Health Services Inc | Pharmacy | 5366 Winchester Rd, 5366 Mendenhall Mall, Memphis, TN 38115-4565 | 2010-11-30 |
| 1750533816 | Hemophilia Preferred Care of Memphis Inc | Pharmacy | 6423 Shelby View Dr Ste 104, Memphis, TN 38134 | 2008-10-21 |
| 1548480841 | Wiles Drug Store Inc | Pharmacy | 1635 Union Ave, Memphis, TN 38104 | 2007-04-27 |
| 1437216694 | Methodist Healthcare-memphis Hospitals | Pharmacy | 51 North Dunlap Street, Ground Floor, Memphis, TN 38105 | 2007-01-03 |
| 1275693566 | The Prescription Shop | Pharmacy | 2207 S Lauderdale St, Memphis, TN 38106-7503 | 2006-12-09 |
| Find all providers in MEMPHIS | ||||
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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.