WALGREEN CO (NPI# 1629379862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629379862 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #13631 |
| Practice Address |
30280 Us Highway 19 N Clearwater FL 33761-1047 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7272821003 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2018-05-09 |
| 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 | PH25223 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 5702433 | 01 | |
| FL | 003226400 | 05 | |
| MEDICAID DME | 003226401 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #13631 | 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 |
30280 US HIGHWAY 19 N |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366712150 | Heather Lamere Brumfield | Pharmacist | 30280 Us Highway 19 N, Clearwater, FL 33761-1047 | 2012-01-10 |
| 1578833448 | Anette Mcclary | Pharmacist | 30280 Us Highway 19 N, Clearwater, FL 33761-1047 | 2012-01-09 |
| 1720357437 | Lan Anh Nguyen | Pharmacist | 30280 Us Highway 19 N, Clearwater, FL 33761-1047 | 2011-12-26 |
| 1467721746 | Jean Marie Maceachern | Pharmacist | 30280 Us Highway 19 N, Clearwater, FL 33761-1047 | 2011-12-15 |
| 1275800674 | Kimberly Pate | Pharmacist | 30280 Us Highway 19 N, Clearwater, FL 33761-1047 | 2011-11-30 |
| 1760765051 | Jay J Rothtein | Pharmacist | 30280 Us Highway 19 N, Clearwater, FL 33761-1047 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| 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 |
|---|---|---|---|---|
| 1497383939 | Unity Express Pharmacy, Inc. | Pharmacy | 2340 State Road 580 Ste G, Clearwater, FL 33763-1137 | 2020-03-30 |
| 1184257743 | Streamlinerx | Pharmacy | 2861 Executive Dr Ste 210, Clearwater, FL 33762-3383 | 2020-02-21 |
| 1881151603 | Lincourt Pharmacy Corp | Pharmacy | 501 S Lincoln Ave Ste 10, Clearwater, FL 33756-5901 | 2019-02-28 |
| 1730540980 | Dap Pharmacy Management and Consulting Serv | Pharmacy | 2364 Sunset Point Rd, Clearwater, FL 33765-1423 | 2016-03-16 |
| 1184099921 | Clearwater Pharmacy LLC | Pharmacy | 4700 140th Ave N Ste 112, Clearwater, FL 33762-3847 | 2015-12-04 |
| 1902290471 | Tenthino LLC | Pharmacy | 28813 Us Highway 19 N, Clearwater, FL 33761-2583 | 2015-03-23 |
| 1770828741 | Alpha-omega Pharmacy | Pharmacy | 4625 E Bay Dr Ste 313, Clearwater, FL 33764-5747 | 2012-12-03 |
| 1205115656 | Mathew Management Inc | Pharmacy | 2090 Gulf To Bay Blvd, Clearwater, FL 33765-3714 | 2011-08-16 |
| 1740456417 | Anv Group LLC | Pharmacy | 30226 Us Highway 19 N, Clearwater, FL 33761-1042 | 2008-05-02 |
| 1407044035 | Baylife Pharmacy Inc | Pharmacy | 1235 S Missouri Ave, Clearwater, FL 33756-9111 | 2007-10-09 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
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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.