WALGREEN CO (NPI# 1790790889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790790889 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #09680 |
| Practice Address |
1610 N Main St Taylor TX 76574-3054 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 5123523469 |
| Practice Fax Number | 5123523794 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-05-21 |
| 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 | 24150 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4537758 | 01 | |
| TX | 466208 | 05 | |
| TX | 469601 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #09680 | 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 |
1610 N MAIN ST |
| City | TAYLOR |
| State | TX |
| Zip Code | 76574-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689903544 | Juan Mckenzie | Pharmacist | 1610 N Main St, Taylor, TX 76574-3054 | 2009-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902388242 | Marisa Rickerson | Speech-Language Pathologist | Spjst, 1810 Old Granger Rd, Tayloe, TX 76574 | 2018-09-04 |
| 1841786134 | Deanna Cole | Registered Nurse | 2503 Donna Drive, Taylor, TX 76574 | 2018-07-10 |
| 1417313750 | Jesse James Maldonado | Pharmacist | 100 Carlos G Parker Blvd, Taylor, TX 76574 | 2015-12-31 |
| 1720443161 | Ace Dental03 PC | Dentist | 100 Carlos G. Parker Blvd, 110, Taylor, TX 76574 | 2015-12-30 |
| 1770812653 | Jina Morris | Pharmacist | 1610 N. Main St., Taylor, TX 76574 | 2009-12-23 |
| 1306066618 | Dental Professionals of Taylor, P.l.l.c. | Clinic/Center | 1611 Old Granger Road, Suite A, Taylor, TX 76574 | 2007-04-27 |
| 1134258197 | Vernon Robert Bender | Dentist | 1611 Old Granger Rd, Taylor, TX 76574 | 2007-03-05 |
| 1528100898 | Taylor Care Center | Nursing Facility/Intermediate Care Facility | 212 East Lake Dr., Taylor, TX 76574 | 2007-02-13 |
| 1376613679 | Paul Anthony Burow | Chiropractor | 612 North Main Street, Taylor, TX 76574 | 2006-11-08 |
| 1306948765 | Ronald P Werner | Dentist | 501 Mallard Lane, Taylor, TX 76574 | 2006-09-05 |
| Find all providers in zip 76574 | ||||
| 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 |
|---|---|---|---|---|
| 1649772617 | Safe Pharmacy LLC | Pharmacy | 26110 Eureka Rd, Taylor, MI 48180-4974 | 2018-03-06 |
| 1134146756 | Bormans Inc | Pharmacy | 9850 Telegraph Rd, Taylor, MI 48180-3334 | 2006-07-17 |
| 1659396216 | Bormans Inc | Pharmacy | 21592 Ecorse Rd, Taylor, MI 48180-1854 | 2006-07-13 |
| 1245236462 | Btbkmk LLC | Pharmacy | 143 N Main St, Taylor, PA 18517-1415 | 2005-06-22 |
| 1801243050 | Taylor City Pharmacy Inc | Pharmacy | 23268 Ecorse Rd, Taylor, MI 48180-1769 | 2016-05-18 |
| 1992161608 | Pro Rx Inc | Pharmacy | 9320 Telegraph Rd, Taylor, MI 48180 | 2016-01-11 |
| 1770972788 | West Dearborn Pharmacy LLC | Pharmacy | 14625 Telegraph Rd, Taylor, MI 48180-4637 | 2015-01-14 |
| 1538253935 | Henry Ford Health System | Pharmacy | 24555 Haig St, Taylor, MI 48180-3322 | 2006-10-03 |
| 1629009600 | Kmart of Michigan Inc | Pharmacy | 21111 Van Born Rd, Taylor, MI 48180-1339 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305619 | Kasaundra Deleon | Pharmacy | 802 E Us Hwy, Richardson, TX 75081 | 2020-10-30 |
| 1205435138 | N.p. Consultants Viii, LLC | Pharmacy | 2115 Pleasanton Rd Ste 100, San Antonio, TX 78221-1300 | 2020-10-21 |
| 1619575362 | Ava Healthcare LLC | Pharmacy | 1600 W Louisiana St Ste 700, Mckinney, TX 75069-7881 | 2020-10-14 |
| 1174120562 | Medela Pharmacy Inc | Pharmacy | 6550 Mapleridge St Ste 200, Houston, TX 77081-4647 | 2020-10-08 |
| 1891392387 | Scriptdash Inc | Pharmacy | 475 State Highway 121 Byp Ste 150, Lewisville, TX 75067-8154 | 2020-10-07 |
| 1164037594 | Nanes Pharmacy LLC | Pharmacy | 17030 Nanes Dr Ste 105a, Houston, TX 77090-2503 | 2020-09-11 |
| 1528672342 | Still Living LLC | Pharmacy | 5344a N Tarrant Pkwy, Fort Worth, TX 76244-6293 | 2020-08-31 |
| 1407469471 | Scriptdash Inc | Pharmacy | 6201 W Plano Pkwy Ste 400, Plano, TX 75093-4907 | 2020-08-28 |
| 1104439629 | Rxmed Pharmacy Pllc | Pharmacy | 502 N Valley Pkwy Ste 1a, Lewisville, TX 75067-3437 | 2020-08-25 |
| 1265045751 | Homecare Pharmacy LLC | Pharmacy | 8700 S Braeswood Blvd Ste B2, Houston, TX 77031-1338 | 2020-08-25 |
| 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.