WALGREEN CO (NPI# 1710993118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710993118 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #04510 |
| Practice Address |
4221 E Main St Farmington NM 87402-8637 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 5053251749 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2016-07-01 |
| Authorized Official Name | MR. ALAN T. NIELSEN (TREASURER) |
| Authorized Official Telephone | 8473153523 |
| 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 | PH00004082 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 60749 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3209358 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04510 | 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 |
4221 E MAIN ST |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87402-8637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730705195 | Elizabeth Lauren Reece | Pharmacist | 4221 E Main St, Farmington, NM 87402-8637 | 2020-06-22 |
| 1093233280 | Jennifer Rae Smith | Pharmacist | 4221 E Main St, Farmington, NM 87402-8637 | 2017-09-07 |
| 1508208190 | Brianna Lewis | Pharmacist | 4221 E Main St, Farmington, NM 87402-8637 | 2013-07-23 |
| 1184857591 | Jeffery Scott Nygren Jr. | Pharmacist | 4221 E Main St, Farmington, NM 87402-8637 | 2009-09-02 |
| 1245462779 | Percy E Collyer | Pharmacist | 4221 E Main St, Farmington, NM 87402-8637 | 2009-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285127803 | Guy Mearle Youell Jr. | Physical Therapy Assistant | 3701 Messina Dr. #108, Farmington, NM 87402 | 2018-06-08 |
| 1740612498 | Four Corners Sleep Supplies | Durable Medical Equipment & Medical Supplies | 6600 East Main St, Suite B, Farmington, NM 87402 | 2013-08-05 |
| 1528400199 | Cloud 9 Sleep Center | Clinic/Center | 6600 E Main St, Suite C, Farmington, NM 87402 | 2013-07-24 |
| 1023395027 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2844 E Main St Ste 105, Farmington, NM 87402 | 2011-11-04 |
| 1356530927 | Brimhall Chiropractic Wellness LLC | Chiropractor | 6610 E Main St, Farmington, NM 87402 | 2007-10-19 |
| 1548468184 | Susan L Burns | Hearing Instrument Specialist | 4331 E. Main St., Suite 202, Farmington, NM 87402 | 2007-07-05 |
| 1205031945 | Joanne Christine Rhodus | Speech-Language Pathologist | 6417 Red Rock Ct, Farmington, NM 87402 | 2007-06-20 |
| 1487867875 | Harvey R. Weber | Dentist | 4725 Foothills Dr., Farmington, NM 87402 | 2007-05-08 |
| 1891834891 | Rex Baker | Family Medicine | 4820 East Main St, Farmington, NM 87402 | 2007-02-06 |
| 1568531481 | Portia Deanne Sykes | Neuromusculoskeletal Medicine, Sports Medicine | 8100 East Main Street, Farmington, NM 87402 | 2006-11-07 |
| Find all providers in zip 87402 | ||||
| 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 |
|---|---|---|---|---|
| 1568759058 | Mt Blue Drug Inc | Pharmacy | 624 Wilton Rd, Farmington, ME 04938-6138 | 2011-07-05 |
| 1295052306 | Farmington Village Pharmacy Pllc | Pharmacy | 32736 Grand River Ave, Farmington, MI 48336-3132 | 2010-04-28 |
| 1629131248 | Millers Pharmacy of Farmington | Pharmacy | 6181 Route 96, Farmington, NY 14425-1004 | 2006-12-18 |
| 1619043379 | Town & Country Grocers of Fredericktown Mo Inc | Pharmacy | 125 W Karsch Blvd, Farmington, MO 63640-2156 | 2006-11-27 |
| 1053338939 | Tayler Health LLC | Pharmacy | 32316 Grand River Ave, Farmington, MI 48336-3201 | 2006-07-16 |
| 1851316483 | Smiths Food & Drug Centers Inc | Pharmacy | 1316 N Highway 89, Farmington, UT 84025-3841 | 2006-07-13 |
| 1386669935 | Bormans Inc | Pharmacy | 22128 Farmington Rd, Farmington, MI 48336-4010 | 2006-07-13 |
| 1275564254 | Kmart of Michigan Inc | Pharmacy | 37175 Grand River Ave, Farmington, MI 48335-2821 | 2006-07-06 |
| 1649772351 | Med-mart Pharmacy LLC | Pharmacy | 100 Main Street, Farmington, WV 26571 | 2018-03-08 |
| 1720492564 | Walmart Inc. | Pharmacy | 367 W Main St, Farmington, AR 72730-2622 | 2014-06-19 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87402 |
Please comment or provide details below to improve the information on WALGREEN CO.
| 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.