WALGREEN CO (NPI# 1851306146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851306146 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #06017 |
| Practice Address |
2840 W Avenue L Lancaster CA 93536-4006 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 6619438683 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-10-02 |
| 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 | PHY45882 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA458820 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0571580 | 01 | |
| CA | 1851306146 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #06017 | 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 |
2840 W AVENUE L |
| City | LANCASTER |
| State | CA |
| Zip Code | 93536-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427616374 | Tommy Zhang | Pharmacist | 2840 W Avenue L, Lancaster, CA 93536-4006 | 2019-06-04 |
| 1407357254 | Jae Woong Han | Pharmacist | 2840 W Avenue L, Lancaster, CA 93536-4006 | 2018-02-27 |
| 1316487564 | Haykuhi Havanjyan | Pharmacist | 2840 W Avenue L, Lancaster, CA 93536-4006 | 2017-03-06 |
| 1336682269 | Nestle Jane Thai | Pharmacist | 2840 W Avenue L, Lancaster, CA 93536-4006 | 2016-11-25 |
| 1225406432 | Bryan Huynh | Pharmacist | 2840 W Avenue L, Lancaster, CA 93536-4006 | 2015-09-03 |
| 1851717334 | Soodabeh Bahadorinejad | Pharmacist | 2840 W Avenue L, Lancaster, CA 93536-4006 | 2014-03-08 |
| 1245652833 | Stephanie Yen Lan Tran | Pharmacist | 2840 W Avenue L, Lancaster, CA 93536-4006 | 2014-01-16 |
| 1689943623 | Souren Basmadjian | Pharmacist | 2840 W Avenue L, Lancaster, CA 93536-4006 | 2011-12-20 |
| 1740562024 | Diana Lee | Pharmacist | 2840 W Avenue L, Lancaster, CA 93536-4006 | 2011-09-13 |
| 1376823906 | Ai Li | Pharmacist | 2840 W Avenue L, Lancaster, CA 93536-4006 | 2011-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921353 | Icgrit, LLC | Durable Medical Equipment & Medical Supplies | 42304 Columbia Court, Lancaster, CA 93536 | 2020-08-03 |
| 1346891827 | Rebecca Rozenberg | Nurse Practitioner | 7060 Hemlock Avenue, Lancaster, CA 93536 | 2019-09-25 |
| 1972078053 | Cherokee Hill | Social Worker | 42055 50th St. W, Quartz Hiu, CA 93536 | 2018-10-04 |
| 1932600954 | Alderbrook, Inc. | Skilled Nursing Facility | 2540 W Avenue K, Lancaster, CA 93536 | 2018-02-25 |
| 1679095244 | Maria Celeste Montebello | Registered Nurse | 335 E. Avenue I, Lancaster, CA 93536 | 2017-07-14 |
| 1073035994 | Letecia Bell | Registered Nurse | 6637 Lime Road, Lancaster, CA 93536 | 2017-07-12 |
| 1366890089 | Omolola Omishore | Physical Therapist | 43415 Hampton St, Quartz Hill, CA 93536 | 2016-06-03 |
| 1073976528 | May Chong Finley | Registered Nurse | 7027 W Avenue L6, Lancaster, CA 93536 | 2016-04-01 |
| 1043689904 | Til Lp | Skilled Nursing Facility | 2639 West Ave K4, Lancaster, CA 93536 | 2015-09-22 |
| 1497140222 | Oak Fence Senior Living, LLC | Skilled Nursing Facility | 6067 West Oak Fence Lane, Lancaster, CA 93536 | 2015-03-30 |
| Find all providers in zip 93536 | ||||
| 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 |
|---|---|---|---|---|
| 1154961837 | Pharmedquest Pharmacy Services | Pharmacy | 45104 10th St W Ste A, Lancaster, CA 93534-2310 | 2020-01-10 |
| 1790276145 | Duke Inc | Pharmacy | 910 S Duke St Ste 104, Lancaster, PA 17602-4618 | 2018-05-22 |
| 1477091288 | Hi-desert Medical Pharmacy Inc | Pharmacy | 1002 E Ave J, Unite E-1, Lancaster, CA 93535-3870 | 2017-02-01 |
| 1528517034 | Med-save 4 LLC | Pharmacy | 208 Stanford St, Lancaster, KY 40444 | 2016-09-26 |
| 1427408889 | Ilabpharma, Inc. | Pharmacy | 44503 16th St W, Ste 101, Lancaster, CA 93534-2886 | 2016-06-16 |
| 1225497936 | Lancaster Drugs LLC | Pharmacy | 100 Green Street, Ste A, Lancaster, MO 63548 | 2016-02-23 |
| 1134528631 | Kaiser Foundation Health Plan Inc | Pharmacy | 615 W Avenue L Fl 3, Lancaster, CA 93534-7211 | 2014-08-20 |
| 1538449707 | L&r Lax, LLC | Pharmacy | 1755 Airport Rd Ste 100, Lancaster, SC 29720-4800 | 2011-08-19 |
| 1851508477 | Lax LLC | Pharmacy | 108 N Woodland Dr Ste C, Lancaster, SC 29720-4779 | 2007-05-16 |
| 1457482374 | Williams Apothecary Inc | Pharmacy | 600 Willow Valley Sq, Lancaster, PA 17602-4866 | 2007-03-09 |
| Find all providers in LANCASTER | ||||
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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.