WALGREEN CO (NPI# 1811902968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811902968 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #04565 |
| Practice Address |
12704 Guy R Brewer Blvd Jamaica NY 11434-2955 |
| Mailing Address |
1901 E Voorhees St Ms720 Danville IL 61834-4509 |
| Practice Telephone | 7189784458 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-12-18 |
| 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 | 24454 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01981075 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3306215 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04565 | 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 |
12704 GUY R BREWER BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11434-2955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245616010 | Cindy Yeh | Pharmacist | 12704 Guy R Brewer Blvd, Jamaica, NY 11434 | 2015-08-04 |
| 1629382171 | Emeline Ramlakhan | Pharmacist | 12704 Guy R Brewer Blvd, Jamaica, NY 11434-2955 | 2010-07-27 |
| 1770805517 | Robert Swahn | Pharmacist | 12704 Guy R Brewer Blvd, Jamaica, NY 11434-2955 | 2010-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726583 | Quwanna M Seymour | Licensed Practical Nurse | Sweet P Home Care Inc 169-37 144th Rd, Jamaica, NY 11434 | 2020-09-29 |
| 1609482645 | Joanquina Beaublanc | Registered Nurse | 170300 130th Ave, Queens, NY 11434 | 2020-09-16 |
| 1386252799 | Maria Akeloko | Behavioral Analyst | 16630 137th Ave, Jamaica, NY 11434 | 2020-07-22 |
| 1023635430 | Jessica Obidimalor | Nurse Practitioner | 165-17 145th Road, Jamaica, NY 11434 | 2020-07-01 |
| 1548885528 | Dominique Alicia Preville | Registered Nurse | 127-14 122nd Street, Apt 2, Queens, NY 11434 | 2020-06-15 |
| 1235754748 | Jameela Scotland | Licensed Practical Nurse | 172 128 Ave, Jamaica, NY 11434 | 2020-06-10 |
| 1447892815 | Accord Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 115-17 Merrick Blvd., Jamaica, NY 11434 | 2019-10-17 |
| 1578122032 | Denise Marie Cahill | Counselor | 175-15 Rockaway Blvd., Janaica, NY 11434 | 2019-06-10 |
| 1235794363 | Whitney Sewell | Social Worker | 115-15 Sutphin Blvd., Jamaica, NY 11434 | 2019-05-03 |
| 1770055832 | Kassandra Maria Campbell | Registered Nurse | 114-76 177th Street, Jamaica, NY 11434 | 2018-12-29 |
| Find all providers in zip 11434 | ||||
| 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 |
|---|---|---|---|---|
| 1609486562 | Phils Pill Pharmacy, Inc | Pharmacy | 8387 Woodhaven Blvd, Jamaica, NY 11421-1533 | 2020-08-05 |
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1316410905 | Zone Pharmacy Inc | Pharmacy | 12520 111th Ave, Jamaica, NY 11420-1537 | 2019-01-07 |
| 1033602271 | Di Pharmacy Corp | Pharmacy | 18217 Jamaica Ave, Jamaica, NY 11423-2327 | 2018-06-12 |
| 1003335597 | Hillside Rx Inc | Pharmacy | 159-22 Hillside Ave, Jamaica, NY 11432 | 2017-09-15 |
| 1487172102 | M & D Elite Pharmacy LLC | Pharmacy | 239-19 Braddock Ave, Jamaica, NY 11426-7209 | 2017-09-01 |
| 1255871356 | Merrick Blvd Pharmacy Inc | Pharmacy | 10950 Merrick Blvd, Jamaica, NY 11433-3039 | 2017-03-08 |
| 1073977633 | Aids Healthcare Foundation | Pharmacy | 16121 Jamaica Ave # 7, Jamaica, NY 11432-6113 | 2016-04-11 |
| 1750747366 | Halim Corp | Pharmacy | 17004 Hillside Ave, Jamaica, NY 11432-4547 | 2016-01-12 |
| 1386014017 | Health and Comfort Rx Inc. | Pharmacy | 147-16 Jamaica Ave, Jamaica, NY 11432-3630 | 2015-10-07 |
| Find all providers in JAMAICA | ||||
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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.