WALGREEN CO (NPI# 1912421793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912421793 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17845 |
| Practice Address |
2645 S Broad St Trenton NJ 08610-4011 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 6098882203 |
| Practice Fax Number | 6098885684 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2019-08-30 |
| 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 | 28RS00125900 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NCPDP | 3153575 | 01 |
| NJ | 0610674 | 05 |
| Other Name | Type Code |
|---|---|
| Rite Aid #10500 | Doing Business As Name - Organization |
| Walgreens #17845 | 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 |
2645 S BROAD ST |
| City | TRENTON |
| State | NJ |
| Zip Code | 08610-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023322799 | Janet D Fleming | Pharmacist | 2645 S Broad St, Trenton, NJ 08610-4011 | 2010-08-04 |
| 1497273460 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2645 S Broad St, Trenton, NJ 08610-4011 | 2017-08-30 |
| 1952617714 | Heather Denise Creelman | Pharmacist | 2645 S Broad St, Trenton, NJ 08610-4011 | 2010-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710486766 | Merakey New Jersey | Community/Behavioral Health | 216 Borden Ave, Hamilton, NJ 08610 | 2018-02-06 |
| 1740641315 | Christiana Adiyiah Manu | Nurse Practitioner | 445 White Horse Ave Suit 202, Hamilton, NJ 08610 | 2016-03-10 |
| 1306226121 | Clinton Rebello | Military Health Care Provider | Mcguire Afb, Apo, AA 08610 | 2015-06-06 |
| 1780932848 | Lindsay Helen Hutchinson | Social Worker | 311 White Horse Ave Ste C, Hamilton, NJ 08610 | 2012-08-21 |
| 1366745176 | Family Care Physicians, LLC | Pediatrics | 445 Whitehorse Ave., Suites 100-101, Hamilton, NJ 08610 | 2010-12-16 |
| 1134454200 | Anna Marie Cesnik | Occupational Therapist | 1900 Arena Drive, Hamilton, NJ 08610 | 2009-10-07 |
| 1003014663 | South Broad Street Counseling Services Inc | Clinic/Center | 1418 South Broad Street, Trenton, NJ 08610 | 2007-07-05 |
| 1235341371 | Liberty Healthcare Services | Home Health | 1603 South Broad Street, Hamilton, NJ 08610 | 2007-05-03 |
| 1841312055 | Ziad Hadaya | Internal Medicine | 994 Whitehorse Ave, Hamilton, NJ 08610 | 2007-04-06 |
| 1487704193 | Marion Levy Bergman | Social Worker | 89 Marshall Ave, Hamilton, NJ 08610 | 2007-01-12 |
| Find all providers in zip 08610 | ||||
| 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 |
|---|---|---|---|---|
| 1326504754 | My Health Pharmacy LLC | Pharmacy | 110 N Hermitage Ave, Trenton, NJ 08618-5510 | 2019-02-11 |
| 1447625363 | Dyer Station Pharmacy LLC | Pharmacy | 2017 S College St Ste B, Trenton, TN 38382-3934 | 2015-12-03 |
| 1104252485 | Bayview Pharmacy Inc | Pharmacy | 2920 W Jefferson Ave, Trenton, MI 48183-2904 | 2013-09-19 |
| 1336574375 | Southcare Pharmacy Inc | Pharmacy | 405 Se 1st Ave, Trenton, FL 32693-3219 | 2013-09-10 |
| 1043455298 | Syn Health LLC | Pharmacy | 695 Chambers St, Trenton, NJ 08611-3718 | 2008-12-02 |
| 1497896542 | Brunswick Pharmacy Inc | Pharmacy | 701 Brunswick Ave, Trenton, NJ 08638-4123 | 2007-02-10 |
| 1902950355 | Ponder Pharmacy Inc | Pharmacy | 11997 S Main St, Trenton, GA 30752-2855 | 2007-01-23 |
| 1457412520 | Olden Pharmacy | Pharmacy | 930 S Olden Ave, Trenton, NJ 08610-5160 | 2006-12-13 |
| 1154415214 | Price Pharmacy Inc | Pharmacy | 4655 Highway 136, Trenton, GA 30752-2908 | 2006-10-03 |
| 1548353980 | New No 4 Family Phcy Inc | Pharmacy | 405 E Broadway, Trenton, IL 62293-1663 | 2006-09-30 |
| Find all providers in TRENTON | ||||
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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.