WALGREEN CO. (NPI# 1801816731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801816731 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO. |
| Other Organization Name | WALGREENS #11025 |
| Practice Address |
4011 Kennett Pike Greenville DE 19807-2018 |
| Mailing Address |
1901 E Voorhees St Mail Stop 790 Danville IL 61834-4509 |
| Practice Telephone | 3024275650 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-11-08 |
| 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 | A3-0000793 | DE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000310107 | 05 | |
| DE | 200051012 | 05 | |
| NCPDP | 0802911 | 01 |
| Other Name | Type Code |
|---|---|
| Walgreens #11025 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457733222 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 418 Us Highway 22 W, Whitehouse Station, NJ 08889 | 2015-06-29 |
| 1215334651 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1 Eddie Dowling Hwy, North Smithfield, RI 02896-7305 | 2014-12-01 |
| 1093112708 | Walgreen Co. | Pharmacy | 500 Route 530, Whiting, NJ 08759 | 2014-11-24 |
| 1164821070 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 339 Matawan Rd, Matawan, NJ 07747-3901 | 2014-08-15 |
| 1306198973 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 447 Belmont Ave, Haledon, NJ 07508-1368 | 2012-10-08 |
| 1437423670 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 901 S Rancho Dr Ste 20, Las Vegas, NV 89106 | 2012-03-06 |
| 1396018883 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 115 N Euclid Ave Ste A, Saint Louis, MO 63108-1503 | 2012-02-15 |
| 1013280403 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 | 2012-02-15 |
| 1588936850 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 4101 Greenbriar Dr Ste 235, Houston, TX 77098 | 2012-02-02 |
| 1467724716 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 8490 Santa Monica Blvd Ste 1, West Hollywood, CA 90069-4261 | 2012-02-02 |
| 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 |
4011 KENNETT PIKE |
| City | GREENVILLE |
| State | DE |
| Zip Code | 19807-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407138605 | Antonino Mazzamuto | Pharmacist | 4011 Kennett Pike, Greenville, DE 19807-2018 | 2011-09-13 |
| 1336420074 | Mary Elizabeth Nasr | Pharmacist | 4011 Kennett Pike, Greenville, DE 19807-2018 | 2011-09-08 |
| 1568743599 | Walgreens | Pharmacy | 4011 Kennett Pike, Greenville, DE 19807-2018 | 2011-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477846590 | Alex M Raney | Urology | 923 Barley Drive, Wilmington, DE 19807 | 2011-05-23 |
| 1881847580 | Michael D. Lenz | Dentist | 2309 Pennsylvania Ave., Wilmington, DE 19807 | 2008-10-28 |
| 1801934104 | Christine Lynne Eckery | Counselor | 230 Presidential Drive, Suite 003, Wilmington, DE 19807 | 2007-02-01 |
| 1740213024 | Victor M Nippert | Podiatrist | 3801 Kennett Pike, Suite A-102, Wilmington, DE 19807 | 2006-07-09 |
| 1164421731 | Elizabeth L Thomas-bauer, Np | Nurse Practitioner | 3506 Kennett Pike, Suite 301, Wilmington, DE 19807 | 2005-07-18 |
| 1922591320 | Gillespie Plastic & Reconstructive Surgery | Surgery | 4001 Kennett Pike Ste 234, Wilmington, DE 19807 | 2018-06-11 |
| 1063805315 | Acts Signature Community Services, Inc. | Internal Medicine | 4830 Kennett Pike, Wilmington, DE 19807 | 2015-03-11 |
| 1790085249 | Mary Brent Whipple | Social Worker | 100 N Dupont Rd, Wilmington, DE 19807 | 2010-11-01 |
| 1790002954 | John William Gillespie IIi | Plastic Surgery | 4001 Kennett Pike Ste 234, Wilmington, DE 19807 | 2010-04-28 |
| 1578700472 | Sonia E Palermo | Nurse Practitioner | 3506 Kennett Pike, Wilmington, DE 19807 | 2009-01-14 |
| Find all providers in zip 19807 | ||||
| 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 |
|---|---|---|---|---|
| 1285105049 | West Pioneer LLC | Pharmacy | 9115 Wesley St Ste 4, Greenville, TX 75402-3841 | 2018-12-05 |
| 1205302254 | A & A Infusion & Specialty, LLC | Pharmacy | 423 Mcallister St, Greenville, MS 38701-4704 | 2018-10-17 |
| 1548769219 | Long's Drugstores of South Carolina, Inc. | Pharmacy | 811 Pendleton St Ste 10, Greenville, SC 29601-3232 | 2018-02-07 |
| 1437505880 | Physicians East Pa | Pharmacy | 1850 W Arlington Blvd Ste 100, Greenville, NC 27834-5704 | 2016-05-04 |
| 1164888038 | Addison & Partners, LLC | Pharmacy | 150 Howell Cir, 125, Greenville, SC 29615-4961 | 2016-01-08 |
| 1073917043 | St Francis Hospital Inc | Pharmacy | 104 Innovation Dr Ste 1050, Greenville, SC 29607-5253 | 2014-10-20 |
| 1639436561 | Om Rx Services LLC | Pharmacy | 5127 Wesley St, Greenville, TX 75402-6315 | 2012-04-17 |
| 1780958744 | Dogwood Pharmacy, LLC | Pharmacy | 1325 Miller Rd, Suite K, Greenville, SC 29607-6541 | 2012-03-08 |
| 1891063012 | Kelly's Pharmacy Inc. | Pharmacy | 4852 State Route 81, Greenville, NY 12083 | 2011-12-02 |
| 1235437518 | Pharmacy Innovations Inc | Pharmacy | 2221 Stantonsburg Rd, Greenville, NC 27834-2841 | 2011-03-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 19807 |
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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.