WALGREEN CO (NPI# 1912912957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912912957 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #03685 |
| Practice Address |
5802 W Broad St Richmond VA 23230-2659 |
| Mailing Address |
1901 E Voorhees St M/s #790 Danville IL 61834-4509 |
| Practice Telephone | 8042883090 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-10-20 |
| Authorized Official Name | MR. ALAN T. NIELSEN (TREASURER) |
| Authorized Official Telephone | 8473153523 |
| 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 | 201003334 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 008508071 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4829808 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #03685 | 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 |
5802 W BROAD ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23230-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741224 | Jessica Arun Kumar | Pharmacist | 5802 W Broad St, Richmond, VA 23230-2659 | 2020-08-20 |
| 1457962029 | Agneta Liubinaite Filisetti | Pharmacist | 5802 W Broad St, Richmond, VA 23230-2659 | 2020-08-16 |
| 1306115571 | Kenneth L Hearn | Pharmacist | 5802 W Broad St, Richmond, VA 23230-2659 | 2011-12-17 |
| 1275802670 | Peggy Yu | Pharmacist | 5802 W Broad St, Richmond, VA 23230-2659 | 2011-12-14 |
| 1255609210 | Taylor Jefferson | Pharmacist | 5802 W Broad St, Richmond, VA 23230-2659 | 2011-12-06 |
| 1841567427 | Valerie Vann Mcmoon | Pharmacist | 5802 W Broad St, Richmond, VA 23230-2659 | 2011-11-25 |
| 1770850877 | Scott Kim | Pharmacist | 5802 W Broad St, Richmond, VA 23230-2659 | 2011-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801382163 | Benjamin Joseph Hughes | Dentist | 6400 Forest Avenue, Ste 110, Richmond, VA 23230 | 2018-07-10 |
| 1265935712 | Anne Ganje | Dietitian, Registered | 6627 West Broad Street, Suite 400, Richmond, VA 23230 | 2018-03-12 |
| 1225537285 | Paul Dearman | Counselor | 4906 Cutshaw Ave Suite 105, Richmond, VA 23230 | 2018-02-06 |
| 1235647041 | Renewal Counseling & Consulting, LLC | Social Worker | 4914 Fitzhugh Ave Ste 101, Richmond, VA 23230 | 2018-01-15 |
| 1033637137 | Emily Z Johnson | Behavioral Analyst | 1701 Byrd Avenue, Richmond, VA 23230 | 2017-09-08 |
| 1104377530 | 1st Advanced Pediatric &adult Healthcare Services LLC | Home Health | 1518 Williow Lawn Dr., Richmond, VA 23230 | 2016-10-20 |
| 1952769770 | Geriatric Health Solutions LLC | Internal Medicine | 5602 Markel Road, Suite 102, Richmond, VA 23230 | 2016-02-08 |
| 1497148480 | We Help Our Adolescents | Community/Behavioral Health | 6010 West Broad St., Suite 103, Richmond, VA 23230 | 2015-03-14 |
| 1386081982 | C3 Healthcare Rx | Pharmacy | 2026 Dabney Rd, Richmond, VA 23230 | 2013-05-23 |
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| Find all providers in zip 23230 | ||||
| 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 |
|---|---|---|---|---|
| 1770115131 | Eliz Pharmacy LLC | Pharmacy | 7120 Fm 1464 Rd Ste D, Richmond, TX 77407-6400 | 2020-02-04 |
| 1235619123 | Always First Pharmacy LLC | Pharmacy | 8620 Grand Mission Blvd Ste I, Richmond, TX 77407-5419 | 2018-08-20 |
| 1447702626 | Kelcare LLC | Pharmacy | 22001 Southwest Fwy Ste 110, Richmond, TX 77469-7002 | 2016-11-04 |
| 1396136156 | Cz Services Inc | Pharmacy | 860 Harbour Way S Ste E, Richmond, CA 94804-3648 | 2015-02-13 |
| 1386081982 | C3 Healthcare Rx | Pharmacy | 2026 Dabney Rd, Richmond, VA 23230 | 2013-05-23 |
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| 1083999122 | Carters Pharmacy Rx LLC | Pharmacy | 1202 Lark Ln Ste 3, Richmond, TX 77469-7433 | 2011-10-20 |
| 1013227149 | Mariste Pharmaceuticals LLC | Pharmacy | 8710 Grand Mission Blvd Ste H, Richmond, TX 77407-5413 | 2010-10-07 |
| 1497994594 | Riverside Healthcare Services | Pharmacy | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2009-02-12 |
| 1932399383 | South River Compounding Pharmacy West End, Inc. | Pharmacy | 3656 Mayland Ct, Richmond, VA 23233-1409 | 2007-07-31 |
| Find all providers in RICHMOND | ||||
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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.