WALGREEN CO (NPI# 1003242686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003242686 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #16133 |
| Practice Address |
454 S Main St Sparta NC 28675-9606 |
| Mailing Address |
1901 E Voorhees St M/s 790 Danville IL 61834-4509 |
| Practice Telephone | 3363722101 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2016-10-18 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1003242686 | 05 | |
| NC | NCPDP | 3462328 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #16133 | 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 |
454 S MAIN ST |
| City | SPARTA |
| State | NC |
| Zip Code | 28675-9606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659481349 | Kerr Drug Inc | Pharmacy | 454 S Main St, Sparta, NC 28675-9606 | 2006-08-30 |
| 1164020533 | Ryan Benfield | Pharmacist | 454 S Main St, Sparta, NC 28675-9606 | 2020-10-16 |
| 1659877520 | Tuyen Quang Phan | Pharmacist | 454 S Main St, Sparta, NC 28675-9606 | 2018-04-01 |
| 1891941340 | Pamela Moxley Hoppers | Pharmacist | 454 S Main St, Sparta, NC 28675-9606 | 2008-08-15 |
| 1689820508 | Stephanie Cornette Vogler | Pharmacist | 454 S Main St, Sparta, NC 28675-9606 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962966002 | Kimberly Loepp | Social Worker | Daymark Alleghany County, 1650 Nc Highway 18 S, Sparta, NC 28675 | 2019-01-23 |
| 1083980593 | Healthstat Inc | Nurse Practitioner | 1889 Hwy 21 S., Sparta, NC 28675 | 2012-03-29 |
| 1912271099 | Mary Margaret Joines | Social Worker | Blue Ridge Business Development Center, 115 Atwood Street, Office #415, Sparta, NC 28675 | 2012-03-07 |
| 1750668307 | Daymark Recovery Services Inc | Community/Behavioral Health | 102 Health Service Road, Sparta, NC 28675 | 2011-11-10 |
| 1326348665 | Families First | Home Health | 103 West Cheek Street, Sparta, NC 28675 | 2010-11-02 |
| 1598992620 | Laura Ashley Flowers | Dentist | 507 North Main Street, Sparta, NC 28675 | 2009-06-16 |
| 1376739003 | Alleghany County Department of Social Services | Case Management | 182 Doctors St, Sparta, NC 28675 | 2007-09-17 |
| 1538366323 | G Terry Johnson | Dentist | 146 Doctors St., Sparta, NC 28675 | 2007-06-27 |
| 1831318641 | Robert Duane Klingensmith | Chiropractor | 771 S Main St, Sparta, NC 28675 | 2007-04-24 |
| 1851448310 | Jennie Lynn Smith | Occupational Therapist | 295 N. Main St., Sparta, NC 28675 | 2007-01-05 |
| Find all providers in zip 28675 | ||||
| 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 |
|---|---|---|---|---|
| 1205280807 | Sparta Apothecary Inc | Pharmacy | 285 W Turn Table Rd Ste B, Sparta, TN 38583-1366 | 2016-04-20 |
| 1558433243 | K&s Pharmacies of Southern Illinois Ltd | Pharmacy | 109 E Broadway St, Sparta, IL 62286-1678 | 2006-11-15 |
| 1710099734 | Websters Pharmacy Inc | Pharmacy | 12707 Broad St, Sparta, GA 31087-1734 | 2006-08-31 |
| 1659481349 | Kerr Drug Inc | Pharmacy | 454 S Main St, Sparta, NC 28675-9606 | 2006-08-30 |
| 1417989443 | Freds Stores of Tennessee Inc | Pharmacy | 159 W Turn Table Rd, Sparta, TN 38583-1366 | 2006-07-07 |
| 1659335172 | Home Town Pharmacy Inc | Pharmacy | 133 E Division, Sparta, MI 49345 | 2006-04-13 |
| 1023094802 | Sabra C Rinio | Pharmacy | 425 N Spring St, Sparta, TN 38583-1323 | 2005-12-22 |
| 1649264722 | K&s Pharmacies of Southern Illinois Ltd | Pharmacy | 157 W Broadway St, Sparta, IL 62286-1619 | 2005-09-06 |
| 1336124502 | Vipal Inc. | Pharmacy | 4 Main St, Sparta, NJ 07871-1900 | 2005-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163135 | Bl Apothecary | Pharmacy | 2739 W 5th St, Lumberton, NC 28358-7819 | 2020-10-31 |
| 1730795873 | Vaxclinic, LLC | Pharmacy | 4400 Park Rd Ste 316, Charlotte, NC 28209-3289 | 2020-09-22 |
| 1720692908 | Geriatrx | Pharmacy | 1655 Snowmass Way, Durham, NC 27713-4514 | 2020-09-03 |
| 1245841279 | Novant Health Pharmacy Services, LLC | Pharmacy | 125 Queens Rd Ste 180, Charlotte, NC 28204-3215 | 2020-08-13 |
| 1912516287 | Pinetops Pharmacy, Inc. | Pharmacy | 102 W. Hamlet St, Pinetops, NC 27864 | 2020-07-23 |
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1629618285 | Dalia Zaghlool | Pharmacy | 4353 Milhaven Park Ln, Winston Salem, NC 27106-4970 | 2020-01-12 |
| 1770123887 | Scotland Memorial Hospital Inc | Pharmacy | 700 Progress Pl, Laurinburg, NC 28352-5545 | 2020-01-07 |
| 1194361832 | Realo Veterinary Pharmacy Inc | Pharmacy | 3800 Gateway Centre Blvd Ste 308a, Morrisville, NC 27560-6220 | 2019-11-18 |
| 1952946246 | Emily Hodges Hall | Pharmacy | 627 E 12th Street, Washington, NC 27889 | 2019-11-11 |
| Find all providers with the same taxonomy | ||||
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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.