WALGREEN CO (NPI# 1609881697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609881697 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #04162 |
| Practice Address |
835 Van Houten Ave Clifton NJ 07013 |
| Mailing Address |
1901 E Voorhees St Ms #790 Danville IL 61834-4509 |
| Practice Telephone | 9732499280 |
| Practice Fax Number | 9732499891 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-08-22 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 28RS00588700 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8383405 | 05 | |
| NJ | NCPDP | 3142469 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04162 | 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 |
835 VAN HOUTEN AVE |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487560 | Stacey Mathew | Pharmacist | 835 Van Houten Ave, Clifton, NJ 07013-1930 | 2020-08-13 |
| 1336416239 | Susan M Keller | Pharmacist | 835 Van Houten Ave, Clifton, NJ 07013-1930 | 2011-11-20 |
| 1215219423 | Hana Kim | Pharmacist | 835 Van Houten Ave, Clifton, NJ 07013-1930 | 2011-09-13 |
| 1639450216 | Hanaa Crvaric | Pharmacist | 835 Van Houten Ave, Clifton, NJ 07013-1930 | 2011-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
| 1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
| 1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
| 1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
| 1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
| 1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
| Find all providers in zip 07013 | ||||
| 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 |
|---|---|---|---|---|
| 1770077968 | Sana Global Inc | Pharmacy | 1145 Main Ave, Clifton, NJ 07011-2353 | 2018-06-20 |
| 1316446594 | Clifton Pharmacy Rx | Pharmacy | 730 Clifton Ave, Clifton, NJ 07013-1862 | 2018-02-02 |
| 1427109255 | 50 Market St Corp | Pharmacy | 377 Valley Rd, Clifton, NJ 07013 | 2007-01-16 |
| 1558434886 | Brookshire Grocery Company | Pharmacy | 900 Fm 3220, Attention Pharmacy Dept, Clifton, TX 76634-1000 | 2006-11-16 |
| 1134226061 | Mvp Pharmacy LLC | Pharmacy | 393 Piaget Ave, Clifton, NJ 07011-3001 | 2006-09-20 |
| 1316968381 | Ajimi Inc | Pharmacy | 472 Clifton Ave, Clifton, NJ 07011 | 2006-07-22 |
| 1285667527 | Giant of Maryland LLC | Pharmacy | 5740 Union Mill Rd, Clifton, VA 20124-1088 | 2006-07-09 |
| 1730111626 | Stop and Shop Supermarket Co LLC | Pharmacy | 160 Kingsland Rd, Clifton, NJ 07014-1915 | 2006-07-07 |
| 1609814789 | Albertsons LLC | Pharmacy | 3229 Business I70, Clifton, CO 81520 | 2006-06-02 |
| 1194322255 | Rapps Pharmacy North, LLC | Pharmacy | 777 Bloomfield Ave, Clifton, NJ 07012-1242 | 2020-10-02 |
| Find all providers in CLIFTON | ||||
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.