WALGREEN CO (NPI# 1588679641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588679641 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #09161 |
| Practice Address |
4870 W Davis St Conroe TX 77304-4280 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 9367603883 |
| Practice Fax Number | 9367603888 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-05-20 |
| 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 | 23810 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 468976 | 05 | |
| TX | 466141 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4530918 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #09161 | 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 |
4870 W DAVIS ST |
| City | CONROE |
| State | TX |
| Zip Code | 77304-4280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285099432 | Stephen Ploch | Pharmacist | 4870 W Davis St, Conroe, TX 77304-4280 | 2015-12-15 |
| 1225424385 | Ebenezer Asare | Pharmacist | 4870 W Davis St, Conroe, TX 77304-4280 | 2015-04-15 |
| 1861746711 | Randi Nicole Rolland | Pharmacist | 4870 W Davis St, Conroe, TX 77304-4280 | 2012-10-30 |
| 1154681344 | David Icard | Pharmacist | 4870 W Davis St, Conroe, TX 77304-4280 | 2012-05-21 |
| 1487923173 | Latosha Mitchell | Pharmacist | 4870 W Davis St, Conroe, TX 77304-4280 | 2011-12-24 |
| 1285901371 | Elizabeth Ploch | Pharmacist | 4870 W Davis St, Conroe, TX 77304-4280 | 2011-11-17 |
| 1659609667 | Lawrence Morris Jr. | Pharmacist | 4870 W Davis St, Conroe, TX 77304-4280 | 2009-12-02 |
| 1255669305 | Brandy Lynn Wall | Pharmacist | 4870 W Davis St, Conroe, TX 77304-4280 | 2009-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| 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 |
|---|---|---|---|---|
| 1093205528 | Relief Med Pharmacy LLC | Pharmacy | 310 E Davis St, Ste 100, Conroe, TX 77301-2910 | 2018-05-10 |
| 1619358967 | 3d&s Supreme Pharmacy | Pharmacy | 203 E Davis St, Conroe, TX 77301-3159 | 2015-06-12 |
| 1144393661 | Kroger Texas L P | Pharmacy | 2222 I 45 N, Conroe, TX 77301-1706 | 2006-11-15 |
| 1689747107 | Kroger Texas L P | Pharmacy | 220 S Loop 336 W, Conroe, TX 77304-3306 | 2006-11-15 |
| 1922192236 | Soco Scripts Inc | Pharmacy | 2105 W Davis St Ste A, Conroe, TX 77304-2062 | 2006-10-03 |
| 1053410373 | Brookshire Brothers Ltd | Pharmacy | 1906 N Frazier St, Conroe, TX 77301-1240 | 2006-09-22 |
| 1699880898 | Post Oak Pharmacy Lp | Pharmacy | 900 W Dallas St, Conroe, TX 77301-2234 | 2006-08-20 |
| 1164920237 | Pharm House Conroe LLC | Pharmacy | 690 S Loop 336 W Ste 100, Conroe, TX 77304-3320 | 2018-01-24 |
| 1407116221 | Walgreens | Pharmacy | 420 N Frazier St, Conroe, TX 77301-2882 | 2012-05-26 |
| 1689932568 | St Hope Foundation Inc | Pharmacy | 1414 S Frazier St Ste 105, Conroe, TX 77301-4475 | 2012-04-27 |
| Find all providers in CONROE | ||||
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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.