WALGREEN CO


Address: 999 E Main St, Waupun, WI 53963
Phone: 9203244696

WALGREEN CO (NPI# 1013178367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013178367
Entity Type Organization
Organization Name WALGREEN CO
Other Organization Name WALGREENS #11649
Practice Address 999 E Main St
Waupun
WI 53963
Mailing Address 1901 E Voorhees St
M/s 790
Danville
IL 61834-4509
Practice Telephone 9203244696
Mailing Telephone 2177092386
Mailing Fax Number 2177092344
Enumeration Date 2008-06-19
Last Update Date 2018-07-25
Authorized Official Name ALYSSA SWEETEN (MANAGER)
Authorized Official Telephone 2177092386
Is Organization Subpart Y
Parent Organization Name WALGREENS BOOTS ALLIANCE INC

Taxonomy

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 8860-042 WI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
WI 36229000 05
WI NCPDP 5130810 01

Other Provider/Organization Names

Other Name Type Code
Walgreens #11649 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 999 E MAIN ST
City WAUPUN
State WI
Zip Code 53963

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316571789 Dario Savic Pharmacist 999 E Main St, Waupun, WI 53963-2210 2020-02-25
1821621624 Alannah L Wallsten Pharmacist 999 E Main St, Waupun, WI 53963-2210 2020-02-20
1871860965 Ethan A. Carruthers Pharmacist 999 E Main St, Waupun, WI 53963-2210 2011-11-17
1356628564 Dale A Wszalek Pharmacist 999 E Main St, Waupun, WI 53963-2210 2011-11-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487195772 Ryan Schmitt Specialist/Technologist 411 Edgewood Drive, Waupun, WI 53963 2017-03-20
1154727758 Above and Beyond Care Solutions LLC In Home Supportive Care 1013 Church Street, Waupun, WI 53963 2014-11-08
1629374780 Beaver Dam Community Hospitals, Inc Family Medicine 180 Gateway Dr, Waupun, WI 53963 2011-02-07
1699904680 Olson Eye Care LLC Optometrist 537 E Main Street, Waupu, WI 53963 2009-07-10
1588817365 Senior Community Center Management of Waupun, LLC Assisted Living Facility 450 E Franklin Street, Waupun, WI 53963 2008-10-24
1568582807 Todd Richard Callister Psychiatry & Neurology 200 South Madison St, Waupun, WI 53963 2007-03-30
1043352990 Consultants Laboratory of Wi, LLC Clinical Medical Laboratory 620 Brown St, Waupun, WI 53963 2007-02-13
1457312209 Christian Home and Rehabilitation Center, Inc. Assisted Living Facility 331 Bly St, Waupun, WI 53963 2006-03-31
1477537249 Brooks Ambulance Inc Ambulance 426 E Main St, Waupun, WI 53963 2005-12-05
1023584992 Stephanie Lynn Bush Nurse Practitioner 160 Gateway Dr, Waupun, WI 53963 2018-10-18
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497355002 Long Life Pharmacy 2 LLC Pharmacy 1225 W Historic Mitchell St Ste 217, Milwaukee, WI 53204-3382 2020-11-01
1710527783 Sage Specialty Pharmacy Inc. Pharmacy 4001 N. Oakland Ave, Shorewood, WI 53211 2020-01-08
1790333623 Froedtert Health Pharmacy LLC Pharmacy 9200 W Wisconsin Ave Ste 200w, Milwaukee, WI 53226-3522 2019-09-04
1225686405 Froedtert Health Pharmacy LLC Pharmacy 9200 W Wisconsin Ave Ste 200c, Milwaukee, WI 53226-3522 2019-08-30
1134777337 Froedtert Health Pharmacy LLC Pharmacy 11430 N Port Washington Rd Ste 103, Mequon, WI 53092-3414 2019-08-30
1619524766 University Rx LLC Pharmacy 133 E College Ave, Appleton, WI 54911 2019-08-23
1053967026 Accurabenefits, LLC Pharmacy 2413 Woodland Ter, Neenah, WI 54956-4824 2019-08-14
1184276917 St. Clare Health Mission Pharmacy Pharmacy 916 Ferry St, La Crosse, WI 54601-4717 2019-07-11
1851851141 Dean Retail Services, Inc. Pharmacy 740 Reena Ave Ste 300, Fort Atkinson, WI 53538-3145 2019-03-22
1093287237 Del Mar Pharmacy Sc Pharmacy 1000 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 2018-12-28
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Competitor

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City WAUPUN
Zip Code 53963

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Dataset Information

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.

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