WALGREEN CO (NPI# 1598951204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598951204 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #10953 |
| Practice Address |
901 S State Rd Davison MI 48423-1721 |
| Mailing Address |
1901 E Voorhees St Mailstop 790 Danville IL 61834-4509 |
| Practice Telephone | 8106534020 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2017-05-05 |
| 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 | 5301008715 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MI MEDICAID | 2370334 | 01 |
| MI | MEDICAID (DME) | 1598951204 | 01 |
| NAPB | 2370334 | 01 |
| Other Name | Type Code |
|---|---|
| Walgreens #10953 | 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 |
901 S STATE RD |
| City | DAVISON |
| State | MI |
| Zip Code | 48423-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285058883 | Kevin Walsh | Pharmacist | 901 S State Rd, Davison, MI 48423-1721 | 2014-02-18 |
| 1356778609 | Rayna Kaspar | Pharmacist | 901 S State Rd, Davison, MI 48423-1721 | 2013-10-01 |
| 1689959652 | Courtney Beauvais | Pharmacy Technician | 901 S State Rd, Davison, MI 48423-1721 | 2011-10-20 |
| 1477838365 | Roger Hogarth | Pharmacist | 901 S State Rd, Davison, MI 48423-1721 | 2011-10-11 |
| 1487936696 | David F Bila | Pharmacist | 901 S State Rd, Davison, MI 48423-1721 | 2011-09-13 |
| 1255611729 | Timothy Willey | Pharmacist | 901 S State Rd, Davison, MI 48423-1721 | 2011-08-28 |
| 1164745089 | Julie Yuchasz | Pharmacist | 901 S State Rd, Davison, MI 48423-1721 | 2010-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598258105 | Davison Medical Practice Plc | Internal Medicine | 1260 N Irish Rd Ste B, Davison, MI 48423 | 2018-06-08 |
| 1760911036 | Davison Care N Assist | Meals | 1044 North Irish, Davison, MI 48423 | 2017-06-08 |
| 1518499839 | Angela Dunscombe | Assistant Behavior Analyst | 370 Carol Mary Ln, Davison, MI 48423 | 2017-03-28 |
| 1932572849 | Terria Kurtz | Social Worker | 501 Davison Rd, Davison, MI 48423 | 2015-11-02 |
| 1821465139 | Teresa Marshall | Registered Nurse | 832 Groten Drive, Davison, MI 48423 | 2015-08-24 |
| 1821478132 | Phyllis Ann Stoutenberg | Massage Therapist | 105 E. Second St., Suite 2, Davison, MI 48423 | 2015-06-02 |
| 1760869713 | Aimee Vakula-rollins, D.d.s., Pllc | Dentist | 1044 N. Irish Rd, Suite B, Davison, MI 48423 | 2015-04-29 |
| 1841681459 | Pamela Linn | Counselor | 501 W. Flint St Suite A, Davison, MI 48423 | 2015-02-18 |
| 1740684232 | Dustin Doren | Physical Therapist | 1410 Pondview Dr, Davison, MI 48423 | 2014-10-14 |
| 1982032132 | Sadie Adams | Speech-Language Pathologist | 9100 Lapeer Road Suite C, Davison, MI 48423 | 2013-10-25 |
| Find all providers in zip 48423 | ||||
| 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 |
|---|---|---|---|---|
| 1376655373 | Davison Drug Store Inc | Pharmacy | 9070 Davison Rd, Davison, MI 48423-1037 | 2006-08-31 |
| 1720012594 | Kroger Co of Michigan | Pharmacy | 700 N State Rd, Davison, MI 48423-1130 | 2006-07-10 |
| 1053556753 | Family Fare, LLC | Pharmacy | 8503 Davison Rd, Davison, MI 48423-2116 | 2008-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961763 | Dustyn Daniel Thoney | Pharmacy | 530 Harding Ave, Iron River, MI 49935-2265 | 2020-10-27 |
| 1497355697 | Katherine Jane Cybulski | Pharmacy | 1310 Waukazoo St, Hastings, MI 49058-9559 | 2020-10-27 |
| 1043836042 | Hanan Pharmacy LLC | Pharmacy | 4600 E 14 Mile Road, Suite 2, Warren, MI 48092-1057 | 2020-06-25 |
| 1770104192 | Hazelwood Pharmacy LLC | Pharmacy | 624 E 9 Mile Rd Ste C, Hazel Park, MI 48030-1842 | 2020-04-27 |
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1669012316 | Warriors Pharmacy, Inc. | Pharmacy | 5265 Anthony Wayne Dr, Detroit, MI 48202-3947 | 2020-01-10 |
| 1457996662 | Sunrise Pharmacy, LLC | Pharmacy | 989 University Dr Ste 104, Pontiac, MI 48342-1885 | 2019-11-12 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1639720667 | Grand Haven Pharmacy LLC | Pharmacy | 930 John R Rd Ste Pharmacy, Troy, MI 48083-4316 | 2019-09-20 |
| Find all providers with the same taxonomy | ||||
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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.