WALGREEN CO (NPI# 1669998050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669998050 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17708 |
| Practice Address |
17 South St Blue Hill ME 04614 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2073743565 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2019-09-24 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | BOARD OF PHARMACY | PH50001613 | 01 |
| ME | 1669998050 | 05 |
| Other Name | Type Code |
|---|---|
| Walgreens #17708 | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17 S St, Blue Hill, ME 04614 | 2073743565 | 2073743523 |
| 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 |
17 SOUTH ST |
| City | BLUE HILL |
| State | ME |
| Zip Code | 04614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154635845 | Christopher Joseph Silva | Pharmacist | 17 South St, Blue Hill, ME 04614 | 2010-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548666811 | Cas Services, Inc | In Home Supportive Care | 442 Pleasant Street, Blue Hill, ME 04614 | 2014-11-13 |
| 1295027795 | Pborchard, LLC | Social Worker | 200 Woods Point Road, Blue Hill, ME 04614 | 2011-05-03 |
| 1992002554 | Lorinda L Toscas | Acupuncturist | 154 Ellsworth Road, Blue Hill, ME 04614 | 2011-02-17 |
| 1417180944 | Joanne Rauscher | Physical Therapist | 82 Water St., Blue Hill, ME 04614 | 2009-09-01 |
| 1043444102 | Washington Hancock Community Agency | Community/Behavioral Health | 118 Ellsworth Road, Blue Hill, ME 04614 | 2009-05-05 |
| 1669614541 | Sarah Jean De Preter | Chiropractor | 20 E. Blue Hill Road, Blue Hill, ME 04614 | 2009-03-24 |
| 1164669263 | Wellness Chiropractic P.c | Chiropractor | 20 East Blue Hill Rd., Blue Hill, ME 04614 | 2009-01-12 |
| 1538381892 | School Union 93 | Local Education Agency (LEA) | 20 Hinkley Ridge Road, Blue Hill, ME 04614 | 2007-05-03 |
| 1962624221 | School Union 93 | Local Education Agency (LEA) | 20 Hinckley Ridge Road, Blue Hill, ME 04614 | 2007-05-03 |
| 1891916821 | Walter Ross Greenlaw Jr. | Dentist | 120 South Street, Blue Hill Peninsula Dental, Blue Hill, ME 04614 | 2007-05-01 |
| Find all providers in zip 04614 | ||||
| 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 |
|---|---|---|---|---|
| 1437164068 | Ronald J Karmazin | Pharmacy | 537 W Gage St, Blue Hill, NE 68930-8000 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245601061 | Bedard Pharmacy, Inc. | Pharmacy | 5 Horton St, Lewiston, ME 04240-6828 | 2015-10-20 |
| 1811392921 | M Drug LLC | Pharmacy | 401 N Main St Ste A&b, Brewer, ME 04412-1873 | 2014-10-31 |
| 1164849691 | Eastport Family Pharmacy | Pharmacy | 34 Middle St, Eastport, ME 04631 | 2014-03-21 |
| 1588080337 | The Island Employee Cooperative Inc | Pharmacy | 3 Burnt Cove Rd, Stonington, ME 04681-3301 | 2014-03-17 |
| 1679812200 | Frontier Pharmacy LLC | Pharmacy | 153 Bennett Dr, Caribou, ME 04736-2024 | 2013-02-01 |
| 1568759058 | Mt Blue Drug Inc | Pharmacy | 624 Wilton Rd, Farmington, ME 04938-6138 | 2011-07-05 |
| 1417100447 | Procare Pharmacy, L.L.C. | Pharmacy | 141 Preble St, Portland, ME 04101-2440 | 2008-11-04 |
| 1811140841 | Coastal Pharmacy LLC | Pharmacy | 29 Marginal Way, Suite 4, Portland, ME 04101-1914 | 2008-11-04 |
| 1013041557 | Colonial Pharmacy Inc | Pharmacy | 40 Dock Sq, Kennebunkport, ME 04046-6011 | 2007-03-15 |
| 1528196219 | Moosehead Drug Inc. | Pharmacy | 10 Pritham Ave, Greenville, ME 04441 | 2007-03-02 |
| Find all providers with the same taxonomy | ||||
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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.