WALGREEN CO


Address: 1945 Lincolnway East, South Bend, IN 46613
Phone: 5742329540

WALGREEN CO (NPI# 1659386779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659386779
Entity Type Organization
Organization Name WALGREEN CO
Other Organization Name WALGREENS #12344
Practice Address 1945 Lincolnway East
South Bend
IN 46613
Mailing Address 1901 E Voorhees St
Ms 790
Danville
IL 61834-4509
Practice Telephone 5742329540
Mailing Telephone 2177092386
Mailing Fax Number 2177092344
Enumeration Date 2006-07-29
Last Update Date 2016-01-12
Authorized Official Name MR. ALAN T NIELSEN (TREASURER)
Authorized Official Telephone 8473153523
Is Organization Subpart Y
Parent Organization Name WALGREEN BOOTS ALLIANCE INC

Taxonomy

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 60003628 IN Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
IN 100307840 05
IN 100307840A DME 05
OTHER ID NUMBER-COMMERCIAL NUMBER 1524796 01
MN 868861300 05

Other Provider/Organization Names

Other Name Type Code
WALGREENS #12344 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 1945 LINCOLNWAY EAST
City SOUTH BEND
State IN
Zip Code 46613

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730330721 Mindy Lynne Gradeless Social Worker 229 East Ewing Avenue, South Bend, IN 46613 2008-10-08
1689836405 Staci-marie Balog Norman Pharmacist 760 West Cotter Street, South Bend, IN 46613 2008-07-02
1003026642 Logan Community Resources, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2105 Wabash St, South Bend, IN 46613-1138 2007-05-23
1366702060 Clara M Davis Private Vehicle 1719 W Dubail St, South Bend, IN 46613-1216 2012-05-29
1215923313 Gregory Matthew Ferro Family Medicine 1832 Prairie Ave, South Bend, IN 46613-1400 2005-09-23
1508330002 Homeworks Construction Inc Durable Medical Equipment & Medical Supplies 1511 Pulaski St, South Bend, IN 46613-1404 2019-01-17
1477763415 Logan Community Resources, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1917 S Walnut St, South Bend, IN 46613-1541 2007-05-22
1013117472 Ronald E Grow Inc Family Medicine 810 W Indiana Ave, South Bend, IN 46613-1828 2007-07-23
1437444692 Life Treatment Centers Substance Abuse Rehabilitation Facility 1402 S Michigan St, South Bend, IN 46613-2214 2011-06-16
1881120798 Shakira Desavoir Counselor 1402 S Michigan St, South Bend, IN 46613-2214 2017-05-11
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912515644 Allison Marie Hill Pharmacy 3 Spruce Ln, South Bend, WA 98586-9008 2020-07-20
1588737100 Kroger Limited Partnership I Pharmacy 1217 E Ireland Rd, South Bend, IN 46614-3448 2006-11-15
1417036997 Willapa Harbor Pharmacies Inc Pharmacy 101 Willapa Ave, South Bend, WA 98586 2006-11-03
1477656965 Hook Superx Inc Pharmacy 50660 Indiana State Route 933, South Bend, IN 46637-2054 2006-09-07
1649277369 Mar-main Pharmacy Pharmacy 426 N Michigan St, South Bend, IN 46601-1228 2005-07-07
1740832492 Healthy U Rx Inc. Pharmacy 201 S William St, South Bend, IN 46601-2515 2019-07-12
1376941344 South Bend Specialty Pharmacy LLC Pharmacy 54590 Ironwood Rd, South Bend, IN 46635-1617 2014-12-08
1750312815 K Mart Corp Pharmacy 4640 S Michigan St, South Bend, IN 46614-2556 2006-07-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477161909 Damien Cares Inc. Pharmacy 26 N Arsenal Ave Ste B, Indianapolis, IN 46201-3808 2020-07-21
1518507755 Genoa Healthcare, LLC Pharmacy 2007 State St Ste 110, Washington, IN 47501-8505 2020-01-15
1053951210 Pharmacy Corporation of America Pharmacy 6032 Highview Dr Ste C, Fort Wayne, IN 46818-1390 2020-01-15
1629635479 Medscript Compounding LLC Pharmacy 14450 Getz Rd Ste 200, Noblesville, IN 46060-3303 2019-05-28
1346807138 Genoa Healthcare, LLC Pharmacy 3176 Lancer St Ste 102, Portage, IN 46368-4408 2019-05-28
1710444740 Highcare Pharmacy Inc Pharmacy 9030 Cline Ave Ste B, Highland, IN 46322-2204 2019-02-26
1346711611 Rx for Less Pharmacy Pharmacy 10930 Pendleton Pike Ste 102, Indianapolis, IN 46236-3177 2018-12-16
1982197463 360 Pharmacy Care LLC Pharmacy 2441 Production Dr Ste 101, Indianapolis, IN 46241-4929 2018-06-11
1649784174 Kroger Limited Partnership I Pharmacy 5 Boone Vlg, Zionsville, IN 46077-1231 2017-11-20
1770095333 Pharmscript of In LLC Pharmacy 6825 Hillsdale Ct, Building No 3, Indianapolis, IN 46250-2039 2017-11-03
Find all providers with the same taxonomy

Competitor

Search similar providers

City SOUTH BEND
Zip Code 46613

Improve Information

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Dataset Information

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.

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