WALGREEN CO (NPI# 1013922061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013922061 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #04617 |
| Practice Address |
919 W Mercury Blvd Hampton VA 23666-4322 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7578272999 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-11-13 |
| 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 | 201003546 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 008516324 | 05 | |
| LA | 1223166 | 05 | |
| AR | 156808407 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4832918 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04617 | 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 |
919 W MERCURY BLVD |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-4322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364796 | Mackenzie Ryann Broglie O'shea | Pharmacist | 919 W Mercury Blvd, Hampton, VA 23666-4322 | 2020-10-20 |
| 1629592670 | Victor Adedayo Alakija | Pharmacist | 919 W Mercury Blvd, Hampton, VA 23666-4322 | 2017-08-01 |
| 1215325923 | Jamaal Allen | Pharmacist | 919 W Mercury Blvd, Hampton, VA 23666-4322 | 2015-01-03 |
| 1235415308 | Shana R Garrett | Pharmacist | 919 W Mercury Blvd, Hampton, VA 23666-4322 | 2011-11-02 |
| 1326323601 | Justyna Materiale | Pharmacist | 919 W Mercury Blvd, Hampton, VA 23666-4322 | 2011-10-18 |
| 1902181308 | Jerald Maurice Grace | Pharmacist | 919 W Mercury Blvd, Hampton, VA 23666-4322 | 2011-10-17 |
| 1497037535 | Leni Lavern Gray-wilson | Pharmacist | 919 W Mercury Blvd, Hampton, VA 23666-4322 | 2011-09-14 |
| 1760764203 | Ulysses Martin IIi | Pharmacist | 919 W Mercury Blvd, Hampton, VA 23666-4322 | 2011-09-11 |
| 1841572468 | Mary Lynn Rutledge | Pharmacist | 919 W Mercury Blvd, Hampton, VA 23666-4322 | 2011-09-10 |
| 1952682049 | Janet Bennett | Pharmacist | 919 W Mercury Blvd, Hampton, VA 23666-4322 | 2011-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| 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 |
|---|---|---|---|---|
| 1851663629 | Davis Drug | Pharmacy | 2100 Executive Dr, Hampton, VA 23666-2402 | 2012-02-08 |
| 1164587762 | Porter Drug Inc | Pharmacy | 621 State Avenue, Hampton, IL 61256 | 2006-12-26 |
| 1538104658 | Hampton Pharmacy Inc | Pharmacy | 339 Highway 321, Hampton, TN 37658-3277 | 2006-06-20 |
| 1225078645 | Publix Super Markets Inc | Pharmacy | 11155 Tara Blvd, Hampton, GA 30228-1672 | 2006-06-07 |
| 1861452377 | Bayview Plaza Pharmacy, Inc. | Pharmacy | 2268 Executive Dr, Hampton, VA 23666-2430 | 2006-03-27 |
| 1861493447 | Hampton Medical Pharmacy | Pharmacy | 344 S Lee, Hampton, AR 71744-0732 | 2005-08-09 |
| 1497286124 | Genoa Pharmacy | Pharmacy | 200 Medical Dr, Suite 289, Hampton, VA 23666-1763 | 2017-03-24 |
| 1396123691 | On-site Rx, Inc | Pharmacy | 2238 Todds Ln, Hampton, VA 23666-3159 | 2015-05-07 |
| 1629115571 | Hampton Pharmacy Inc | Pharmacy | 339 Highway 321, Hampton, TN 37658-3277 | 2007-01-31 |
| 1134146335 | Wal-mart Stores East Lp | Pharmacy | 1900 Cunningham Dr, Hampton, VA 23666-4260 | 2006-07-16 |
| Find all providers in HAMPTON | ||||
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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.