WALGREEN CO (NPI# 1568477768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568477768 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #06374 |
| Practice Address |
649 Shallowford Rd Nw Gainesville GA 30504-4146 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 6784507326 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-12-01 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | PHRE008505 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00885376L | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1148609 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #06374 | 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 |
649 SHALLOWFORD RD NW |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30504-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386926905 | Tricia Renee Merrick | Pharmacist | 649 Shallowford Rd Nw, Gainesville, GA 30504-4146 | 2011-09-10 |
| 1033499587 | Tamara Riggleman | Pharmacist | 649 Shallowford Rd Nw, Gainesville, GA 30504-4146 | 2011-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1710541461 | Lauren Brooke Taylor | Occupational Therapist | 2900 Mcever Road, Gainesville, GA 30504 | 2019-04-29 |
| 1801023700 | Brenda Levartha Hamilton | Registered Nurse | 3905 Mabry Rd., Gainesville, GA 30504 | 2009-06-18 |
| 1083757645 | Charles Kent Yarbrough | Optometrist | 400 Shallowford Road, Vision Center, Gainesville, GA 30504 | 2007-02-14 |
| 1881746170 | Lisa S. Ralston | Occupational Therapist | 3038 St. Charles Ave., 3038 St. Charles Ave., Gainesville, GA 30504 | 2007-01-17 |
| 1326140690 | David Richards Adamson | Physical Therapist | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-09-05 |
| 1326057621 | Henry Joseph Lewis IIi | Legal Medicine | 5606 Captains Ct, Gainesville, GA 30504 | 2006-08-05 |
| 1992164032 | Hall County Endoscopy Center LLC | Clinic/Center | 1955 Textile Way, Gainesville, GA 30504 | 2016-02-17 |
| 1982902276 | James Minton | Pharmacist | 3640 Mundy Mill Road, Gainesville, GA 30504 | 2011-03-10 |
| 1881758969 | Donna Marie Colavecchio | Occupational Therapy Assistant | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-12-21 |
| Find all providers in zip 30504 | ||||
| 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 |
|---|---|---|---|---|
| 1437658234 | Adeola Adeniji | Pharmacy | 7371 Atlas Walk Way, Gainesville, VA 20155-2992 | 2018-02-07 |
| 1437657491 | Sras LLC | Pharmacy | 14370 Lee Hwy Ste 105, Gainesville, VA 20155-4865 | 2018-01-24 |
| 1114432663 | Pwrx Pharmacy, LLC | Pharmacy | 6754 Calthorpe Pl, Gainesville, VA 20155-4428 | 2017-12-06 |
| 1134526619 | On-site Rx, Inc | Pharmacy | 2435 Old Cornelia Hwy., Gainesville, GA 30507 | 2014-11-26 |
| 1528499191 | Precision Care Pharmacy Services Inc | Pharmacy | 2131 Nw 55th Ter, Gainesville, FL 32605-3374 | 2013-12-09 |
| 1588816912 | Wegmans Food Market, Inc | Pharmacy | 8297 Stonewall Shops Square, Attn: Pharmacy Manager, Gainesville, VA 20155 | 2008-10-16 |
| 1467576470 | Hi-tech Healthcare Inc | Pharmacy | 502 S Enota Dr Ne, Gainesville, GA 30501-2546 | 2007-03-16 |
| 1780724773 | Student Health Pharmacy At The University of Florida | Pharmacy | 280 Fletcher Dr, Gainesville, FL 32611-2038 | 2007-02-07 |
| 1386710481 | Alan R Mcelveeen | Pharmacy | 1210 Thompson Bridge Rd, Gainesville, GA 30501-1779 | 2006-11-28 |
| 1972675759 | Stephen D Adams Pharmacies Inc | Pharmacy | 631 Broad St Se, Gainesville, GA 30501-3729 | 2006-11-15 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30504 |
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.