WALGREEN CO (NPI# 1669621231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669621231 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #11155 |
| Practice Address |
409 Ramapo Valley Rd Oakland NJ 07436 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2013372349 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | ALYSSA SWEETEN (MANAGER) |
| Authorized Official Telephone | 2177092386 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALGREENS BOOTS ALLIANCE |
| 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 | 28RS00685000 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 3195369 | 01 | |
| NJ | 0190021 | 05 |
| Other Name | Type Code |
|---|---|
| Walgreens #11155 | 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 |
409 RAMAPO VALLEY RD |
| City | OAKLAND |
| State | NJ |
| Zip Code | 07436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346724762 | Stephanie Ann Mangini | Pharmacist | 409 Ramapo Valley Rd, Oakland, NJ 07436-2707 | 2018-09-21 |
| 1083124978 | Chris Kijoon Lee | Pharmacist | 409 Ramapo Valley Rd, Oakland, NJ 07436-2707 | 2017-10-04 |
| 1821544339 | Anna Maria Zdulska | Pharmacist | 409 Ramapo Valley Rd, Oakland, NJ 07436-2707 | 2016-08-25 |
| 1467829051 | Shin Han | Pharmacist | 409 Ramapo Valley Rd, Oakland, NJ 07436-2707 | 2015-08-31 |
| 1952736175 | Jerica S Eco | Pharmacist | 409 Ramapo Valley Rd, Oakland, NJ 07436-2707 | 2013-09-06 |
| 1902154800 | Victoria Simac | Pharmacist | 409 Ramapo Valley Rd, Oakland, NJ 07436-2707 | 2012-08-27 |
| 1881977015 | Kristin Elia | Pharmacist | 409 Ramapo Valley Rd, Oakland, NJ 07436-2707 | 2011-09-23 |
| 1093097610 | Christine Jane Sosa | Pharmacist | 409 Ramapo Valley Rd, Oakland, NJ 07436-2707 | 2011-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376065680 | Jade Chinesse West | Occupational Therapy Assistant | 21 Oswego Ave, Oakland, NJ 07436 | 2017-07-10 |
| 1932521101 | Joyce Thomas | Nurse Practitioner | 14 Post Rd., Oakland, NJ 07436 | 2014-01-07 |
| 1770849739 | James A Hertel | Pharmacist | 373 Ramapo Valley Road, Oakland, NJ 07436 | 2012-04-04 |
| 1841520616 | Megan E Brooks | Physical Therapist | 100 Bauer Drive, Oakland, NJ 07436 | 2009-12-30 |
| 1265691190 | Donna J Lombardi-goldfus | Pediatrics | 50 Overlook Ridge, Oakland, NJ 07436 | 2008-06-05 |
| 1962547836 | Marvin Lagstein D M D P A | Dentist | 9 Post Road, Suite M1a Longhill Medical Dental Center, Oakland, NJ 07436 | 2007-02-20 |
| 1275677304 | James Joseph Scillieri | Dentist | 19 Yawpo Ave., Oakland, NJ 07436 | 2007-02-20 |
| 1528125036 | Steven William Kennelly | Specialist/Technologist | Giants Stadium, East Rutherford, NJ 07436 | 2007-01-03 |
| 1306955042 | Maurice M Maccario | Oral & Maxillofacial Surgery | 180 Ramapo Valley Road, Oakland, NJ 07436 | 2006-08-29 |
| 1164456604 | Martin F Klapper | Social Worker | 410 Ramapo Valley Road, Oakland, NJ 07436 | 2006-07-10 |
| Find all providers in zip 07436 | ||||
| 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 |
|---|---|---|---|---|
| 1114385143 | Integrated Medical Associated Pharmacy Inc | Pharmacy | 10500 Macarthur Blvd # 103, Oakland, CA 94605-5248 | 2016-02-04 |
| 1497183271 | Kaiser Foundation Health Plan Inc | Pharmacy | 3600 Broadway Fl 1, Oakland, CA 94611 | 2013-10-14 |
| 1154623205 | Maxor National Pharmacy Services LLC | Pharmacy | 550 6th St, Oakland, CA 94607-3946 | 2010-11-23 |
| 1841424843 | Kaiser Foundation Health Plan Inc | Pharmacy | 3701 Broadway Fl 3, Oakland, CA 94611-5613 | 2009-05-06 |
| 1104060383 | Kaiser Foundation Health Plan Inc | Pharmacy | 3701 Broadway Fl 4, Oakland, CA 94611-5613 | 2009-05-01 |
| 1770723645 | Kaiser Foundation Health Plan Inc | Pharmacy | 3701 Broadway Fl 1, Oakland, CA 94611-5613 | 2009-03-04 |
| 1457532590 | Specialty Pharmacies, Inc. | Pharmacy | 465 2nd St, Oakland, CA 94607-3839 | 2007-11-16 |
| 1669661237 | Specialty Pharmacies Inc | Pharmacy | 465 2nd Street, Oakland, CA 94607 | 2007-10-19 |
| 1639217623 | Sullivan Pharmaceuticals Inc | Pharmacy | 6123 La Salle Ave, Oakland, CA 94611-2801 | 2007-02-02 |
| 1083701247 | Bradford Pharmacy Inc | Pharmacy | 445 8th St, Oakland, CA 94607-3901 | 2006-10-09 |
| Find all providers in OAKLAND | ||||
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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.