WALGREEN CO. (NPI# 1619099280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619099280 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO. |
| Other Organization Name | WALGREENS #09917 |
| Practice Address |
5995 Mobile Hwy Pensacola FL 32526-1833 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8504540254 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2018-05-08 |
| 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 | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | PH22631 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 1619099280-DME | 05 | |
| FL | 031991100 | 05 | |
| AL | 1619099280 | 05 | |
| FL | 031991101 DME | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #09917 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457733222 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 418 Us Highway 22 W, Whitehouse Station, NJ 08889 | 2015-06-29 |
| 1215334651 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1 Eddie Dowling Hwy, North Smithfield, RI 02896-7305 | 2014-12-01 |
| 1093112708 | Walgreen Co. | Pharmacy | 500 Route 530, Whiting, NJ 08759 | 2014-11-24 |
| 1164821070 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 339 Matawan Rd, Matawan, NJ 07747-3901 | 2014-08-15 |
| 1306198973 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 447 Belmont Ave, Haledon, NJ 07508-1368 | 2012-10-08 |
| 1437423670 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 901 S Rancho Dr Ste 20, Las Vegas, NV 89106 | 2012-03-06 |
| 1396018883 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 115 N Euclid Ave Ste A, Saint Louis, MO 63108-1503 | 2012-02-15 |
| 1013280403 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 | 2012-02-15 |
| 1588936850 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 4101 Greenbriar Dr Ste 235, Houston, TX 77098 | 2012-02-02 |
| 1467724716 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 8490 Santa Monica Blvd Ste 1, West Hollywood, CA 90069-4261 | 2012-02-02 |
| 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 |
5995 MOBILE HWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32526-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998157 | Takaila Spence | Pharmacist | 5995 Mobile Hwy, Pensacola, FL 32526-1833 | 2020-10-08 |
| 1750651550 | Jeffery May | Pharmacist | 5995 Mobile Hwy, Pensacola, FL 32526-1833 | 2012-01-10 |
| 1184992729 | Nancy Shoop | Pharmacist | 5995 Mobile Hwy, Pensacola, FL 32526-1833 | 2011-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274250 | Luzviminda Banares | Technician | 6303 Nashville Ave., Pensacola, FL 32526 | 2019-09-19 |
| 1972011708 | Kimberly Corner | Custodial Care Facility | 7138 Glendora St, Pensacola, FL 32526 | 2018-01-15 |
| 1174983175 | Empower Medical Solutions Inc | Durable Medical Equipment & Medical Supplies | 6866-a Pine Forest Rd, Pensacola, FL 32526 | 2016-03-03 |
| 1215324736 | Access Care Medical Group, LLC | Clinic/Center | 2123 Juno Cir, Pensacola, FL 32526 | 2015-04-22 |
| 1760733398 | Jacqueline Kathleen Clarke Jemmott | Counselor | 7203 Pine Forest Rd, Pensacola, FL 32526 | 2012-09-22 |
| 1326269986 | Linda Elena Longsworth | Pharmacist | 5975 Mobile Hwy., Pensacola, FL 32526 | 2007-05-01 |
| 1619019205 | Terence D Lunday | Dentist | 3101f W Michigan Ave, Pensacola, FL 32526 | 2007-02-12 |
| 1164571584 | James Glenn Hart Jr. | Dentist | 3101 F W Michigan Ave, Pensacola, FL 32526 | 2007-01-09 |
| 1033216528 | Holiday Cvs LLC | Pharmacy | 4500 Saufley Field Rd, Pensacola, FL 32526 | 2006-09-19 |
| 1578584942 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 5975 Mobile Hwy, Pensacola, FL 32526 | 2006-07-21 |
| Find all providers in zip 32526 | ||||
| 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 |
|---|---|---|---|---|
| 1922415140 | Physician Specialty Pharmacy LLC | Pharmacy | 6258 N W St, Pensacola, FL 32505-1903 | 2014-07-21 |
| 1457417347 | Andersons Thrif-t Drugs Inc | Pharmacy | 4350 Bayou Blvd, Pensacola, FL 32503-1948 | 2006-12-28 |
| 1245342179 | Marando Inc | Pharmacy | 5507 N W St, Pensacola, FL 32505-2435 | 2006-08-31 |
| 1922113125 | Brunos Inc | Pharmacy | 3 W Nine Mile Rd, Pensacola, FL 32534-1279 | 2006-08-20 |
| 1841221959 | K Mart Corp | Pharmacy | 4211 Mobile Hwy, Pensacola, FL 32506-4205 | 2006-07-06 |
| 1750327219 | Rx Advantage Inc | Pharmacy | 2256 W Nine Mile Rd Ste B, Pensacola, FL 32534-9471 | 2006-06-22 |
| 1568409993 | Albertsons LLC | Pharmacy | 5055 N 9th Ave, Pensacola, FL 32504-8719 | 2006-06-02 |
| 1811934342 | Albertsons LLC | Pharmacy | 5998 Mobile Hwy, Pensacola, FL 32526-1873 | 2006-06-01 |
| 1760429435 | Albertsons LLC | Pharmacy | 2180 W Nine Mile Rd, Pensacola, FL 32534-9472 | 2006-06-01 |
| 1063459519 | Albertsons LLC | Pharmacy | 9251 University Pkwy, Pensacola, FL 32514-5531 | 2006-06-01 |
| Find all providers in PENSACOLA | ||||
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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.