WALGREEN CO (NPI# 1932114998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932114998 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #04340 |
| Practice Address |
2614 Lavon Dr Garland TX 75040-8762 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 9725301438 |
| Practice Fax Number | 9725300591 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-05-09 |
| 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 | 18767 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 464149 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4503997 | 01 | |
| TX | 468048 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04340 | 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 |
2614 LAVON DR |
| City | GARLAND |
| State | TX |
| Zip Code | 75040-8762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154659696 | Phiyen Nguyen | Pharmacist | 2614 Lavon Dr, Garland, TX 75040-8762 | 2009-11-20 |
| 1124355722 | Ujunma Ifeyinwa Egwim | Pharmacist | 2614 Lavon Dr, Garland, TX 75040-8762 | 2009-11-03 |
| 1073840682 | Chike Oguanobi | Pharmacist | 2614 Lavon Dr, Garland, TX 75040-8762 | 2009-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467938407 | Craig R Baginski, Dds Inc | Dentist | 4433 Naaman Forest Blvd, Garland, TX 75040 | 2018-07-12 |
| 1356838981 | Firewheel Pediatric Dental Specialists Pllc | Dentist | 4880 N President George Bush Hwy Ste 104, Garland, TX 75040 | 2018-04-19 |
| 1801312947 | Etsub Negussie Haileselassie | Radiology | 1702 Arbor Creek Dr., Garland, TX 75040 | 2017-08-21 |
| 1073038089 | Ashakrishna Nair | Nurse Practitioner | 5702 Lavon Drive, Cvs, Garland, TX 75040 | 2017-08-10 |
| 1336672856 | Rosialyllc Dba Garland Adult Care Center | Clinic/Center | 3845 N. Garland Ave, 700b, Garland, TX 75040 | 2017-04-11 |
| 1699211276 | Yishak Yemane Abebu | Non-emergency Medical Transport (VAN) | 1502 Townbluff St., Garland, TX 75040 | 2017-01-06 |
| 1124478375 | Nisha Liz John P.l.l.c | Dentist | 3046 Lavon Drive, Suite 125,127, Garland, TX 75040 | 2016-06-20 |
| 1265893275 | A1 Hospice Care LLC | Hospice Care, Community Based | 317 Still Meadow Drive, Garland, TX 75040 | 2016-03-18 |
| 1922474345 | Wai Mei Lee | Dentist | 1309 Belt Line Rd, Unit A, Garland, TX 75040 | 2015-08-19 |
| 1972990901 | Turnpike Vision, PC | Optometrist | 485 Cedar Sage Space J13, Garland, TX 75040 | 2015-04-16 |
| Find all providers in zip 75040 | ||||
| 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 |
|---|---|---|---|---|
| 1245854645 | Shiloh Pharmacy Inc. | Pharmacy | 3035 S Shiloh Rd Ste 150, Garland, TX 75041-2497 | 2020-06-01 |
| 1518580422 | Medstork Rx, LLC | Pharmacy | 1413 E Interstate 30 Ste 6, Garland, TX 75043-4784 | 2020-05-26 |
| 1093379380 | Medical Butterfly Inc | Pharmacy | 2231 Peggy Ln # B, Garland, TX 75042-5708 | 2019-04-23 |
| 1134626278 | Tank Chesterfield LLC | Pharmacy | 102 N Shiloh Rd Ste 305, Garland, TX 75042-6695 | 2018-04-06 |
| 1689004442 | Garland Care Plus LLC | Pharmacy | 1401 Northwest Hwy Ste 107, Garland, TX 75041-5264 | 2013-11-14 |
| 1710251772 | Broadway Pharmacy LLC | Pharmacy | 3334 Broadway Blvd Ste 412, Garland, TX 75043-1575 | 2012-03-08 |
| 1578830360 | Remington Heritage Holdings Inc | Pharmacy | 2046 Forest Ln Ste 140, Garland, TX 75042-7939 | 2011-11-21 |
| 1215227103 | Advanced Prescription Service | Pharmacy | 3671 Broadway Blvd, Ste 300, Garland, TX 75043 | 2011-04-12 |
| 1932272465 | Kroger Texas L P | Pharmacy | 532 W I 30, Garland, TX 75043-5700 | 2006-11-15 |
| 1265547202 | Yum Pharmacies Inc | Pharmacy | 1215 W Buckingham Rd, Ste B, Garland, TX 75040-4533 | 2006-08-20 |
| Find all providers in GARLAND | ||||
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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.