WALGREEN CO (NPI# 1700303302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700303302 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17049 |
| Practice Address |
2090 Gause Blvd E Slidell LA 70461 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 9856413847 |
| Practice Fax Number | 9856399835 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2018-07-27 |
| 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 | PHY.007625-RC | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | NCPDP | 190495 | 01 |
| LA | 2205773 | 05 |
| Other Name | Type Code |
|---|---|
| Walgreens #17049 | 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 |
2090 GAUSE BLVD E |
| City | SLIDELL |
| State | LA |
| Zip Code | 70461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710286687 | Barbara Hazelbaker Phillips | Pharmacist | 2090 Gause Blvd E, Slidell, LA 70461-5431 | 2011-03-17 |
| 1043735517 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2090 Gause Blvd E, Slidell, LA 70461-5431 | 2017-08-07 |
| 1508234568 | Thao Tam Nguyen | Pharmacist | 2090 Gause Blvd E, Slidell, LA 70461-5431 | 2015-09-08 |
| 1063771103 | Jenny T Perino | Pharmacist | 2090 Gause Blvd E, Slidell, LA 70461-5431 | 2012-05-10 |
| 1962760116 | Mongtruc Hoang | Pharmacist | 2090 Gause Blvd E, Slidell, LA 70461-5431 | 2012-04-25 |
| 1114217957 | Larry W Douglas | Pharmacist | 2090 Gause Blvd E, Slidell, LA 70461-5431 | 2011-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
| 1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
| 1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
| 1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
| 1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
| 1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
| 1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
| 1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
| 1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
| Find all providers in zip 70461 | ||||
| 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 |
|---|---|---|---|---|
| 1952870180 | Clrx New Orleans | Pharmacy | 2385 Gause Blvd E Ste 11, Slidell, LA 70461-6011 | 2018-11-16 |
| 1184171241 | Arx Ms LLC | Pharmacy | 2395 Gause Blvd E Ste 11, Slidell, LA 70461-6010 | 2016-09-07 |
| 1972989242 | J and J Enterprises of Mandeville,llc | Pharmacy | 2230 Gause Blvd E, Slidell, LA 70461-4231 | 2015-08-10 |
| 1952452930 | Northshore Discount Pharmacy Inc | Pharmacy | 680 Robert Blvd, Slidell, LA 70458-1648 | 2007-01-16 |
| 1871518423 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 110 Gause Blvd W, Slidell, LA 70460-2625 | 2006-07-13 |
| 1548720527 | Mississippi Center for Advanced Medicine, PC | Pharmacy | 2053 Gause Blvd E Ste 200, Slidell, LA 70461-5451 | 2019-03-25 |
| 1578796140 | Slidell Pharmacy LLC | Pharmacy | 1201 Robert Blvd, Slidell, LA 70458 | 2009-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766563 | Bartley Enterprises | Pharmacy | 11634 Texas Hwy, Many, LA 71449 | 2020-10-02 |
| 1982218392 | Ochsner Pharmacy and Wellness LLC | Pharmacy | 2500 Belle Chasse Hwy Ste T1224, Gretna, LA 70056-7127 | 2020-09-02 |
| 1477162972 | Mercy Medical Health Center | Pharmacy | 4631 Quitman Hwy, Hodge, LA 71247 | 2020-07-30 |
| 1306470265 | Capitol City Family Health Center, Incorporated | Pharmacy | 3111 Florida Blvd Ste B, Baton Rouge, LA 70806-3774 | 2020-02-28 |
| 1215561527 | Caldwell Drug | Pharmacy | 8141 Us Hwy. 165, Columbia, LA 71418 | 2020-02-25 |
| 1962042028 | Southeast Community Health Systems Pharmacy Kentwood | Pharmacy | 734 Avenue G, Kentwood, LA 70444-2602 | 2020-01-07 |
| 1780234567 | Avita Drugs LLC | Pharmacy | 1715 Common St Ste A, Lake Charles, LA 70601-6135 | 2019-09-13 |
| 1386204659 | Highrhealth | Pharmacy | 516 N Burnside Ave, Gonzales, LA 70737-2830 | 2019-06-18 |
| 1265091474 | Medicis LLC | Pharmacy | 1727 Imperial Blvd Bldg 4, Lake Charles, LA 70605-5393 | 2019-06-11 |
| 1639642556 | Hospital Service District 1 of East Baton Rouge Parish | Pharmacy | 6300 Main St Ste 100, Zachary, LA 70791-4037 | 2019-01-03 |
| 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.