WALGREEN CO (NPI# 1982120705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982120705 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17704 |
| Practice Address |
10295 Route 152 Wayne WV 25570 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 3042726767 |
| Practice Fax Number | 3042725802 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2020-01-31 |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100540890 | 05 |
| Other Name | Type Code |
|---|---|
| Rite Aid | Doing Business As Name - Organization |
| Walgreens #17704 | 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 |
10295 ROUTE 152 |
| City | WAYNE |
| State | WV |
| Zip Code | 25570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245349588 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 10295 Route 152, Wayne, WV 25570-9605 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586532 | Stephanie Michelle Turley | Technician | 207 Mary Davis Branch Road, Wayne, WV 25570 | 2020-10-22 |
| 1508463332 | Cheyann Marie White | Technician | 1317 Left Fork Wilson Creek Road, Wayne, WV 25570 | 2020-10-05 |
| 1619582483 | Joanna Wiley | Technician | 612 Wayne Street, Wayne, WV 25570 | 2020-09-09 |
| 1568076859 | Betty Perry | Technician | 3745 Big Branch Rd, Wayne, WV 25570 | 2020-09-03 |
| 1497367106 | Summer Susanna Bias | Technician | 150 Mose Asbury Road, Wayne, WV 25570 | 2020-08-24 |
| 1508475070 | Donnetta Sue Pratt | Case Manager/Care Coordinator | 1066 Little Lynn Creek Road, Wayne, WV 25570 | 2020-07-30 |
| 1508333659 | Tami Renee Harless | Technician | 112 Riverside Drive Dunrovin Estates, Wayne, WV 25570 | 2018-10-26 |
| 1457867137 | Sarah Minnie Skeens | Technician | 1030 Wilson Creek Road, Wayne, WV 25570 | 2017-12-18 |
| 1497261234 | Zelma Rae Toler | Technician | 112 Riverside Drive, Dunrovan Estate, Wayne, WV 25570 | 2017-12-15 |
| 1639684012 | Patricia Sue Adkins | Technician | 881 Toms Crk Rd, Wayne, WV 25570 | 2017-12-07 |
| Find all providers in zip 25570 | ||||
| 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 |
|---|---|---|---|---|
| 1982240735 | Elite Rx LLC | Pharmacy | 2282 Hamburg Tpke Ste E, Wayne, NJ 07470-6291 | 2019-11-26 |
| 1790295616 | Bop Rx Inc | Pharmacy | 879 Black Oak Ridge Rd Unit 2, Wayne, NJ 07470-6400 | 2017-10-05 |
| 1992130553 | One Stop Pharmacy LLC | Pharmacy | 33950 Van Born Rd, Wayne, MI 48184 | 2013-09-13 |
| 1942574629 | Riverview Pharmacy LLC | Pharmacy | 2405 Hamburg Tpke Ste C, Wayne, NJ 07470-6261 | 2012-02-28 |
| 1407953342 | Strafford Pharmacy Inc | Pharmacy | 623 W Lancaster Ave, Wayne, PA 19087-3108 | 2006-09-20 |
| 1992815518 | Costco Wholesale Corporation | Pharmacy | 149 State Route 23, Wayne, NJ 07470 | 2006-08-30 |
| 1477584456 | K Mart Corp | Pharmacy | 704 W Lancaster Ave, Wayne, PA 19087-2560 | 2006-07-06 |
| 1679514509 | Basic Home Infusion, Inc. | Pharmacy | 1401 Valley Rd, 4th Floor, Wayne, NJ 07470-2073 | 2006-06-10 |
| 1750333134 | Shopko Stores Operating Co LLC | Pharmacy | 615 Dearborn St, Wayne, NE 68787-2244 | 2006-05-16 |
| 1700856010 | Neff-wayne Enterprise,inc. | Pharmacy | 249 E Swedesford Rd, Wayne, PA 19087-1462 | 2006-01-26 |
| Find all providers in WAYNE | ||||
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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.