WALGREEN CO (NPI# 1629594155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629594155 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17523 |
| Practice Address |
35 Elm St Camden ME 04843 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2072364546 |
| Practice Fax Number | 2072363183 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2019-07-26 |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1629594155 | 05 | |
| ME | BOARD OF PHARMACY | PH50001601 | 01 |
| Other Name | Type Code |
|---|---|
| Walgreens #17523 | 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 |
35 ELM ST |
| City | CAMDEN |
| State | ME |
| Zip Code | 04843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295026615 | David Paul Taylor | Pharmacist | 35 Elm St, Camden, ME 04843-1910 | 2011-04-20 |
| 1447568894 | Karin Strauss | Pharmacist | 35 Elm St, Camden, ME 04843-1910 | 2010-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740633148 | Judith Orme | Social Worker | 69 Elm St., #203, Camden, ME 04843 | 2016-07-20 |
| 1497912208 | Amber Elizabeth Blanchard | Occupational Therapy Assistant | 105 Mechanic Street, Camden, ME 04843 | 2008-05-20 |
| 1083810097 | Louise P Bakley | Speech-Language Pathologist | 69 Elm Street, Camden, ME 04843 | 2007-06-26 |
| 1679787527 | School Administrative District No 28 | Local Education Agency (LEA) | 7 Lions Lane, Camden, ME 04843 | 2007-05-10 |
| 1649346925 | Suetta Tenney | Internal Medicine | Genesis Health Care Winward Gardens Nursing Center, 105 Mechanic Street, Camden, ME 04843 | 2006-11-28 |
| 1235221854 | Kathleen A Dishner | Nurse Practitioner | 62 Bayview St Unit 23, Camden, ME 04843 | 2006-09-29 |
| 1417990896 | Carlton Douglas Johnstone | Chiropractor | 49 Elm St, Camden, ME 04843 | 2006-06-14 |
| 1720048044 | Marsha Leslie Domench | Physical Therapist | 22 Park Street, Camden, ME 04843 | 2006-03-23 |
| 1619968682 | Jennifer Marie Batterman | Psychologist | 87 Elm St Ste 203, Camden, ME 04843 | 2005-10-31 |
| 1881930048 | Jonathan Philip Burns | Chiropractor | 92 Elm St, Camden, ME 04843 | 2012-12-17 |
| Find all providers in zip 04843 | ||||
| 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 |
|---|---|---|---|---|
| 1962811125 | Broadway Discount Pharmacy Inc | Pharmacy | 315 S. Broadway, Broadway Discount Pharmacy Inc, Camden, NJ 08103-1208 | 2014-08-12 |
| 1912146135 | Cramer Hill Pharmacy | Pharmacy | 949 N 25th St, Camden, NJ 08105-3823 | 2009-02-11 |
| 1821124223 | Rajsita LLC | Pharmacy | 2940 Yorkship Sq, Camden, NJ 08104-2895 | 2007-02-27 |
| 1528101680 | Kasp LLC | Pharmacy | 433 N 7th St, Camden, NJ 08102-2212 | 2007-02-15 |
| 1144393471 | Brookshire Grocery Company | Pharmacy | 1345 Hwy 4 Spur Sw, Attention Pharmacy Dept, Camden, AR 71701 | 2006-11-16 |
| 1871675678 | Carol A Hardin | Pharmacy | 75 W Central Ave, Camden, OH 45311-1007 | 2006-10-20 |
| 1336256510 | Kph Healthcare Services, Inc. | Pharmacy | 2 Preston St, Camden, NY 13316-1216 | 2006-08-24 |
| 1689691867 | Wal-mart Stores East Lp | Pharmacy | 2200 Highway 641 N, Camden, TN 38320-5276 | 2006-07-16 |
| 1558393579 | Freds Stores of Tennessee Inc | Pharmacy | 24 Camden Byp, Camden, AL 36726-1770 | 2006-07-07 |
| 1154365468 | Main Street Pharmacies of South Carolina, LLC | Pharmacy | 1023a W Dekalb St, Camden, SC 29020-4162 | 2006-06-16 |
| Find all providers in CAMDEN | ||||
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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.