WALGREEN CO (NPI# 1558376665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558376665 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #03502 |
| Practice Address |
907 Lincoln Hwy W New Haven IN 46774-2141 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2604933736 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-10-13 |
| 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 | 60002440 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1517917 | 01 | |
| IN | 100307660A | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #03502 | 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 |
907 LINCOLN HWY W |
| City | NEW HAVEN |
| State | IN |
| Zip Code | 46774-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518485796 | Nathan Lyle Wiedemann | Pharmacist | 907 Lincoln Hwy W, New Haven, IN 46774-2141 | 2017-09-07 |
| 1902206170 | Edem Y Atakey | Pharmacist | 907 Lincoln Hwy W, New Haven, IN 46774-2141 | 2014-08-25 |
| 1528341633 | Richard L Cuney Jr. | Pharmacist | 907 Lincoln Hwy W, New Haven, IN 46774-2141 | 2011-09-25 |
| 1740563857 | Eric Adkins | Pharmacist | 907 Lincoln Hwy W, New Haven, IN 46774-2141 | 2011-09-25 |
| 1699058834 | Laura Ellen Keister | Pharmacist | 907 Lincoln Hwy W, New Haven, IN 46774-2141 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235659236 | Tyann Nicole Sanchez | Doula | 16018 Platter Road, New Haven, IN 46774 | 2017-06-21 |
| 1073673430 | Benjamin Craig Swinehart | Physical Therapist | 10876 Isabelle Dr., New Haven, IN 46774 | 2006-12-08 |
| 1912930223 | Adams County Memorial Hospital | Skilled Nursing Facility | 1201 Daly Dr, New Haven, IN 46774 | 2006-07-09 |
| 1922520410 | Claressa Sue Brekke | Physical Therapist | 1316 Minnich Rd, New Haven, IN 46774 | 2017-07-17 |
| 1750558706 | Kristen Zurbuch Ms Ccc-slp | Speech-Language Pathologist | 3117 Pawnee Ct, New Haven, IN 46774 | 2008-05-09 |
| 1548442197 | Brackmann & Hockemeyer Optometry Inc | Optometrist | 1010 Boulder Ridge Trl, New Haven, IN 46774-0010 | 2007-12-05 |
| 1023349255 | Elzabeth K Hartup | Specialist | 8805 Edwardsberg Pl, New Haven, IN 46774-1079 | 2010-01-28 |
| 1417365958 | Jeremy Oyer | Physical Therapy Assistant | 8805 Edwardsberg Pl, New Haven, IN 46774-1079 | 2014-07-29 |
| 1467728204 | Jeremy Duane Stewart | Physical Therapy Assistant | 156 Sturm St, New Haven, IN 46774-1141 | 2012-03-27 |
| 1215313911 | Theresa Schortgen | Health Educator | 146 N Rufus St, New Haven, IN 46774-1162 | 2015-08-04 |
| Find all providers in zip 46774 | ||||
| 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 |
|---|---|---|---|---|
| 1740771021 | Valisurerx LLC | Pharmacy | 5 Science Park Ste 1, New Haven, CT 06511-1989 | 2018-05-23 |
| 1578012324 | Community Health Pharmacy LLC | Pharmacy | 210 Dixwell Ave, New Haven, CT 06511-3416 | 2016-09-21 |
| 1396885836 | Bella Vista Pharmacy & Surgical Supplies Inc | Pharmacy | 321 Eastern St, New Haven, CT 06513-2462 | 2007-02-07 |
| 1376616896 | Kroger Limited Partnership I | Pharmacy | 821 Lincoln Hwy W, New Haven, IN 46774-2139 | 2006-11-15 |
| 1710070487 | Visels Drug Store Inc | Pharmacy | 714 Dixwell Ave, New Haven, CT 06511-1038 | 2006-10-02 |
| 1750485702 | Hall Benedict Drug Co II Inc | Pharmacy | 767 Orange St, New Haven, CT 06511-2534 | 2006-09-12 |
| 1386203123 | Kathleen W Ferencz | Pharmacy | 55 Park St, New Haven, CT 06511-5474 | 2019-06-06 |
| 1871150276 | Evan Zahn | Pharmacy | 55 Park St, New Haven, CT 06511-5474 | 2019-05-22 |
| 1881819795 | Medical Center Pharmacy | Pharmacy | 60 Temple St, New Haven, CT 06510-2716 | 2007-04-16 |
| 1285756858 | Medical Center Pharmacy Inc | Pharmacy | 800 Howard Ave, New Haven, CT 06519-1369 | 2007-04-04 |
| Find all providers in NEW HAVEN | ||||
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.