WALGREEN CO (NPI# 1770007601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770007601 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17847 |
| Practice Address |
1212 Summit Ave Jersey City NJ 07307-3137 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2018760107 |
| Practice Fax Number | 2018760142 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2019-08-15 |
| 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 | 28RS00553600 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NCPDP | 3153587 | 01 |
| NJ | 0609447 | 05 |
| Other Name | Type Code |
|---|---|
| Rite Aid #4705 | Doing Business As Name - Organization |
| Walgreens #17847 | 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 |
1212 SUMMIT AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07307-3137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649799420 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1212 Summit Ave, Jersey City, NJ 07307 | 2017-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914244 | Anna Manioudakis | Nurse Practitioner | 3540 Kennedy Blvd., Jersey City, NJ 07307 | 2020-08-26 |
| 1497222095 | M.e.t.s. Charter School | Local Education Agency (LEA) | M.e.t.s. Charter School, 211 Sherman Street, Jersey City, NJ 07307 | 2018-11-01 |
| 1255704540 | Caringhouse Projects, Inc | Respite Care | 1089 Summit Avenue, Apt 6, Jersey City, NJ 07307 | 2015-11-09 |
| 1114390739 | Pei Lin, Md | Otolaryngology | 3624 Jfk Blvd, Jersey City, NJ 07307 | 2015-11-04 |
| 1700259330 | Ruju Shah | Physical Therapist | 151 Bleecker St, Apt 6, Jersey City, NJ 07307 | 2015-11-04 |
| 1750780656 | Mariam Marzouk | Psychologist | 224 Bowers Street, Jersey City, NJ 07307 | 2014-08-15 |
| 1063820462 | Briones Family Dental, Inc. | Dentist | 3592 John F. Kennedy Blvd, Jersey City, NJ 07307 | 2014-07-29 |
| 1295159713 | Anukriti Mehta | Pharmacist | 1212 Summit Avenue, Jersey City, NJ 07307 | 2014-02-05 |
| 1033552872 | Diana Lorena Ceron | Marriage & Family Therapist | 147 Columbian Turnpike, Suit 307, Florham Park, NJ 07307 | 2013-04-11 |
| 1104162767 | Khurram Saleem Malik | Internal Medicine | 126 Terrace Ave, Jersey City, NJ 07307 | 2012-12-28 |
| Find all providers in zip 07307 | ||||
| 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 |
|---|---|---|---|---|
| 1962966861 | Lasani Pharmacy Inc. | Pharmacy | 381 Communipaw Ave, Jersey City, NJ 07304-3723 | 2019-01-24 |
| 1831680776 | Next Generation Pharmacy Nj LLC | Pharmacy | 296 Palisade Ave, Jersey City, NJ 07307-1814 | 2018-05-26 |
| 1578050357 | Health Smart Pharmacy & Convenience Store LLC | Pharmacy | 2709 John F Kennedy Blvd, Jersey City, NJ 07306-5763 | 2018-04-18 |
| 1497254676 | Block Pharmacy Rx LLC | Pharmacy | 636 Newark Ave, Jersey City, NJ 07306-2382 | 2018-02-02 |
| 1285000950 | Ahnd Group Corp | Pharmacy | 8 Baldwin Ave Ste B, Jersey City, NJ 07304-3154 | 2015-08-18 |
| 1922482025 | Cosmo Pharmacy LLC | Pharmacy | 402 Pacific Avenue, Jersey City, NJ 07304 | 2015-07-17 |
| 1396129995 | Downtown Management LLC | Pharmacy | 201 Morris Blvd, Jersey City, NJ 07302-7380 | 2015-07-13 |
| 1659700656 | Central Pharmacy Inc | Pharmacy | 438 Central Ave, Jersey City, NJ 07307-2727 | 2013-11-11 |
| 1851725964 | Vitalis Drugs LLC | Pharmacy | 3495 John F Kennedy Blvd, Jersey City, NJ 07307-4119 | 2013-08-26 |
| 1790129948 | Sip Pharmacy | Pharmacy | 54 Sip Ave, Jersey City, NJ 07306-3107 | 2013-04-18 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07307 |
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.