WALGREEN CO (NPI# 1619490406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619490406 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | RITE AID |
| Practice Address |
727 East Ave Pawtucket RI 02860-6185 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 4017246800 |
| Practice Fax Number | 4017232160 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2019-04-19 |
| 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 | PHA00631 | RI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 1619490406 | 05 | |
| RI | NCPDP | 4107923 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID | 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 |
727 EAST AVE |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-6185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154382562 | Kenneth Farrell Sperber | Family Medicine | 727 East Ave, Pawtucket, RI 02860-6184 | 2006-03-28 |
| 1295298677 | Lauren Nicole Waterman | Registered Nurse | 727 East Ave, Pawtucket, RI 02860-6185 | 2019-04-11 |
| 1336509413 | Yvette Moreno | Nurse Practitioner | 727 East Ave, Pawtucket, RI 02860-6185 | 2016-03-02 |
| 1467719088 | Lily Pike | Family Medicine | 727 East Ave, Pawtucket, RI 02860-6185 | 2012-04-20 |
| 1265720304 | Jessica Bazar | Physical Therapist | 727 East Ave, Pawtucket, RI 02860-6184 | 2011-07-11 |
| 1326333923 | Melissa Mary Deanseris | Pharmacist | 727 East Ave, Pawtucket, RI 02860-6184 | 2011-06-13 |
| 1063745123 | Carol A Garcia-benoit | Nurse Practitioner | 727 East Ave, Suite 100, Pawtucket, RI 02860-6185 | 2009-09-08 |
| 1124151634 | Irina M Boguk | Pharmacist | 727 East Ave, Pawtucket, RI 02860-6184 | 2007-03-13 |
| 1447392469 | Hillside Avenue Family and Community Medicine, LLC | Non-Pharmacy Dispensing Site | 727 East Ave, Pawtucket, RI 02860-6184 | 2007-02-13 |
| 1659460442 | Michael Fine | Family Medicine | 727 East Ave, Pawtucket, RI 02860-6184 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| 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 |
|---|---|---|---|---|
| 1225206329 | Loujil Inc | Pharmacy | 465 Lonsdale Ave, Ste B, Pawtucket, RI 02860-1874 | 2008-02-12 |
| 1366578775 | Fairlawn Pharmacy Inc | Pharmacy | 582 Smithfield Ave, Pawtucket, RI 02860-1633 | 2007-02-27 |
| 1548294408 | Stop and Shop Supermarket Co LLC | Pharmacy | 368398 Cottage Street, Pawtucket, RI 02861 | 2006-07-10 |
| 1043762230 | Cardinal Health 132 LLC | Pharmacy | 39 East Ave, Suite 100, Pawtucket, RI 02860-4003 | 2016-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092884 | Carelink Collaborative Pharmacy LLC | Pharmacy | 400 Massasoit Ave Ste 114, East Providence, RI 02914-2012 | 2020-10-28 |
| 1316411267 | Anthony's Pharmacy LLC | Pharmacy | 219 Manton Ave, Providence, RI 02909-3329 | 2019-01-14 |
| 1669925814 | Toll Gate Apothecary LLC | Pharmacy | 176 Toll Gate Rd Ste 302, Warwick, RI 02886-4481 | 2016-07-24 |
| 1154609972 | We Care Rx | Pharmacy | 678 Park Ave Unit 2, Cranston, RI 02910-2114 | 2011-07-27 |
| 1144556770 | Mps Rx New England LLC | Pharmacy | 33b Appian Way, Smithfield, RI 02917-1777 | 2009-11-02 |
| 1093832461 | Watsons Pharmacy | Pharmacy | 2206 Broad St, Cranston, RI 02905-3332 | 2007-03-23 |
| 1245373307 | Suburban Pharmacy Inc | Pharmacy | 242 Pawtuxet Ave, Warwick, RI 02888-1933 | 2007-02-15 |
| 1750441994 | Chapel Pharmacy Inc | Pharmacy | 2081 Diamond Hill Rd, Cumberland, RI 02864-5123 | 2006-12-11 |
| 1750455143 | Bayview Pharmacy | Pharmacy | 3844 Post Rd, Warwick, RI 02886 | 2006-11-20 |
| 1306938519 | Baker's Pharmacy of Jamestown, Inc | Pharmacy | 53 Narragansett Ave, Jamestown, RI 02835-1100 | 2006-09-28 |
| 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.