WALGREEN CO (NPI# 1558794685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558794685 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #15538 |
| Practice Address |
335 Prairie Ave Providence RI 02905-1924 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 4017814325 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2019-12-06 |
| 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 | PHA00563 | RI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 1558794685 | 05 | |
| RI | NCPDP | 4107581 | 01 |
| Other Name | Type Code |
|---|---|
| Walgreens #15538 | 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 |
335 PRAIRIE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548318884 | Melissa A Weintraub | Dentist | 335 Prairie Ave, Providence, RI 02905-2426 | 2007-01-05 |
| 1891309225 | Ethan Melillo | Pharmacist | 335 Prairie Ave, Providence, RI 02905-1924 | 2020-09-02 |
| 1215549910 | Jackie Habchi | Pharmacist | 335 Prairie Ave, Providence, RI 02905-1924 | 2020-08-24 |
| 1073125274 | Zachary Allen Armstrong | Pharmacist | 335 Prairie Ave, Providence, RI 02905-1924 | 2020-08-19 |
| 1598380610 | Megan E Lusignan | Optometrist | 335 Prairie Ave, Providence, RI 02905-1924 | 2020-06-15 |
| 1518431006 | Tiffany F Rea | Registered Nurse | 335 Prairie Ave, Providence, RI 02905-1924 | 2019-01-17 |
| 1184118127 | Erica Ann Knarr | Dentist | 335 Prairie Ave, Providence, RI 02905 | 2018-06-21 |
| 1336675768 | Valerie Marie Vorderstrasse | Psychologist | 335 Prairie Ave, Providence, RI 02905-1924 | 2017-05-04 |
| 1215478219 | The Providence Community Health Centers, Inc. | Clinic/Center | 335 Prairie Ave, Providence, RI 02905-1924 | 2017-03-10 |
| 1962959320 | Su Jin Bae | Dentist | 335 Prairie Ave, Providence, RI 02905-1924 | 2016-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| 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 |
|---|---|---|---|---|
| 1316411267 | Anthony's Pharmacy LLC | Pharmacy | 219 Manton Ave, Providence, RI 02909-3329 | 2019-01-14 |
| 1811929771 | Stop and Shop Supermarket Co LLC | Pharmacy | 850 Manton Ave, Providence, RI 02909-5655 | 2006-07-07 |
| 1568418564 | Shaws Supermarkets Inc | Pharmacy | 325 Valley St, Providence, RI 02908-5612 | 2006-05-25 |
| 1386270601 | Aj Pharmacy LLC | Pharmacy | 1017 Smith St, Providence, RI 02908-2747 | 2020-03-18 |
| 1124520994 | Asthenis, LLC | Pharmacy | 206 Cranston St, Providence, RI 02907 | 2018-03-07 |
| 1609306919 | Ccr LLC | Pharmacy | 1017 Smith St, Providence, RI 02908-2747 | 2017-06-19 |
| 1295148625 | Lifespan Pharmacy, LLC | Pharmacy | 164 Summit Ave, Providence, RI 02906-2853 | 2014-06-03 |
| 1013223437 | Baez & Associates Corp | Pharmacy | 500 Broad St Ste 6, Providence, RI 02907-1367 | 2010-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092884 | Carelink Collaborative Pharmacy LLC | Pharmacy | 400 Massasoit Ave Ste 114, East Providence, RI 02914-2012 | 2020-10-28 |
| 1669925814 | Toll Gate Apothecary LLC | Pharmacy | 176 Toll Gate Rd Ste 302, Warwick, RI 02886-4481 | 2016-07-24 |
| 1154609972 | We Care Rx | Pharmacy | 678 Park Ave Unit 2, Cranston, RI 02910-2114 | 2011-07-27 |
| 1144556770 | Mps Rx New England LLC | Pharmacy | 33b Appian Way, Smithfield, RI 02917-1777 | 2009-11-02 |
| 1225206329 | Loujil Inc | Pharmacy | 465 Lonsdale Ave, Ste B, Pawtucket, RI 02860-1874 | 2008-02-12 |
| 1093832461 | Watsons Pharmacy | Pharmacy | 2206 Broad St, Cranston, RI 02905-3332 | 2007-03-23 |
| 1366578775 | Fairlawn Pharmacy Inc | Pharmacy | 582 Smithfield Ave, Pawtucket, RI 02860-1633 | 2007-02-27 |
| 1245373307 | Suburban Pharmacy Inc | Pharmacy | 242 Pawtuxet Ave, Warwick, RI 02888-1933 | 2007-02-15 |
| 1750441994 | Chapel Pharmacy Inc | Pharmacy | 2081 Diamond Hill Rd, Cumberland, RI 02864-5123 | 2006-12-11 |
| 1750455143 | Bayview Pharmacy | Pharmacy | 3844 Post Rd, Warwick, RI 02886 | 2006-11-20 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
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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.