WALGREEN CO (NPI# 1629083936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629083936 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #05721 |
| Practice Address |
3140 Se 14th St Des Moines IA 50320-1328 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 5152825295 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-03-29 |
| 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 | 355 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1601675 | 01 | |
| OR | 218118 | 05 | |
| IA | 0085134 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #05721 | 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 |
3140 SE 14TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50320-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104447606 | Joshua Roehrick | Pharmacist | 3140 Se 14th St, Des Moines, IA 50320-1328 | 2020-05-06 |
| 1598386088 | Lynn Malloy Rich | Pharmacist | 3140 Se 14th St, Des Moines, IA 50320-1328 | 2020-05-06 |
| 1659919116 | Edyta Judge | Pharmacy | 3140 Se 14th St, Des Moines, IA 50320-1328 | 2019-12-16 |
| 1699168831 | Matthew Korte | Pharmacist | 3140 Se 14th St, Des Moines, IA 50320-1328 | 2015-03-12 |
| 1821368150 | Paul Charles Halter | Pharmacist | 3140 Se 14th St, Des Moines, IA 50320-1328 | 2012-01-03 |
| 1063780138 | Jeffrey J. Weldon | Pharmacist | 3140 Se 14th St, Des Moines, IA 50320-1328 | 2011-12-05 |
| 1013293919 | Thomas R Davey | Pharmacist | 3140 Se 14th St, Des Moines, IA 50320-1328 | 2011-10-25 |
| 1316223324 | Terese Fruendt | Pharmacist | 3140 Se 14th St, Des Moines, IA 50320-1328 | 2011-10-24 |
| 1598040651 | Amy Lynn Bohl | Pharmacist | 3140 Se 14th St, Des Moines, IA 50320-1328 | 2011-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740694272 | Riverwoods Terrace, LLC | Assisted Living Facility | 2210 East Park Avenue, Des Moines, IA 50320 | 2014-06-12 |
| 1437205663 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6351 S.e. 14th, Des Moines, IA 50320 | 2007-01-29 |
| 1922584127 | Alyssa Happe | Registered Nurse | 2353 Se 14th St, Des Moines, IA 50320 | 2018-07-11 |
| 1023491206 | April Winters | Family Medicine | 2353 Se 14th St, Des Moines, IA 50320 | 2015-07-07 |
| 1063691962 | Keith A Colwell Dds PC | Dentist | 6057 Se 14th St, Des Moines, IA 50320 | 2007-10-26 |
| 1528110467 | Mosaic | Intermediate Care Facility, Mentally Retarded | 3206 Se 20th Street, Des Moines, IA 50320-0000 | 2007-01-18 |
| 1518039460 | Lilanganie Weerasinghe | Pediatrics | 2353 Se 14 St, Des Moines, IA 50320-1109 | 2006-11-15 |
| 1841286804 | Courtney Gillis Palmer | Social Worker | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2005-09-26 |
| 1205495413 | Elizabeth Pfaff Thompson | Physician Assistant | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2019-06-11 |
| 1922563063 | Brooke Aletta Raney | Nurse Practitioner | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2019-02-03 |
| Find all providers in zip 50320 | ||||
| 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 |
|---|---|---|---|---|
| 1245763689 | Access Pharmacies Inc | Pharmacy | 627 S 227th St, Des Moines, WA 98198-6827 | 2017-04-04 |
| 1265573992 | Cassady Inc | Pharmacy | 501 University Ave, Des Moines, IA 50314-2702 | 2007-02-08 |
| 1457405805 | Stelinhos Beaverdale LLC | Pharmacy | 2804 Beaver Ave, Des Moines, IA 50310-4038 | 2007-01-23 |
| 1144392937 | Thrift Prescriptions Inc | Pharmacy | 3825 Sw 9th St, Des Moines, IA 50315-3581 | 2006-11-15 |
| 1013022045 | Lvh Inc | Pharmacy | 5802 Franklin Ave, Des Moines, IA 50322-6132 | 2006-08-20 |
| 1992710537 | Pharmacy Inc | Pharmacy | 4946 Franklin Ave, Des Moines, IA 50310-1901 | 2006-07-30 |
| 1093713216 | Dick Pharmacy, Inc. | Pharmacy | 3024 Forest Ave, Des Moines, IA 50311-2912 | 2005-07-12 |
| 1750737193 | Sea-mar Community Health Center | Pharmacy | 2781 S 242nd St, Des Moines, WA 98198-5166 | 2016-05-04 |
| 1013197060 | Broadlawns Medical Center | Pharmacy | 1801 Hickman Road, Des Moines, IA 50314 | 2007-11-07 |
| 1003957960 | Cassady Inc | Pharmacy | 4505 Sw 9th St, Des Moines, IA 50315-3939 | 2007-02-12 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50320 |
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.