WALGREEN HOME CARE, INC (NPI# 1023104072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023104072 |
| Entity Type | Organization |
| Organization Name | WALGREEN HOME CARE, INC |
| Practice Address |
40 Capri Blvd Lake Havasu City AZ 86403-5661 |
| Mailing Address |
1901 E Voorhees St Ms 660 Danville IL 61834-4509 |
| Practice Telephone | 9286806800 |
| Practice Fax Number | 9288547909 |
| Mailing Telephone | 2175548924 |
| Mailing Fax Number | 2175548546 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-10-26 |
| Authorized Official Name | MR. TRENT E TAYLOR (PRESIDENT) |
| Authorized Official Telephone | 8479646800 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALGREEN CO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 447559-DME | 05 |
| Street Address |
40 CAPRI BLVD |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225000466 | James A Tammaro Md PC | Durable Medical Equipment & Medical Supplies | 40 Capri Blvd, Suite 102, Lake Havasu City, AZ 86403-5661 | 2006-02-02 |
| 1245627371 | Barnet Dulaney Perkins Eye Center, Pllc | Ophthalmology | 40 Capri Blvd, Suite 102, Lake Havasu City, AZ 86403-5661 | 2015-04-15 |
| 1871557603 | Judith A Mckee | Nurse Anesthetist, Certified Registered | 40 Capri Blvd, Ste 102, Lake Havasu City, AZ 86403-5661 | 2006-04-17 |
| 1497727093 | Barnet Dulaney Perkins Eye Center II Pllc | Clinic/Center | 40 Capri Blvd, Suite 102, Lake Havasu City, AZ 86403-5661 | 2006-02-07 |
| 1194797795 | James A Tammaro Md PC | Optometrist | 40 Capri Blvd, Suite 102, Lake Havasu City, AZ 86403-5661 | 2006-02-07 |
| 1548232770 | Bryant M Senica | Optometrist | 40 Capri Blvd, Suite 102, Lake Havasu City, AZ 86403-5661 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358465 | Durable Medical Supply | Durable Medical Equipment & Medical Supplies | 344 London Bridge Rd Ste F, Lake Havasu City, AZ 86403-4619 | 2020-02-14 |
| 1528379757 | Caring Corners, Inc. | Durable Medical Equipment & Medical Supplies | 2115 Mcculloch Blvd N, Ste B, Lake Havasu City, AZ 86403-6670 | 2010-06-22 |
| 1497924070 | James Richard Fisher | Durable Medical Equipment & Medical Supplies | 2540 Viejo Dr, Lake Havasu City, AZ 86406 | 2008-02-27 |
| 1588864540 | Express Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 2231 Mcculloch Blvd N Ste 111, Lake Havasu City, AZ 86403-6911 | 2007-07-18 |
| 1831264837 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1964 Mesquite Ave, Ste B, Lake Havasu City, AZ 86403-5890 | 2006-11-22 |
| 1871667733 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 1976 Mesquite Ave Ste B, Lake Havasu City, AZ 86403-5729 | 2006-11-20 |
| 1538250634 | Rose of Sharon Medical Services | Durable Medical Equipment & Medical Supplies | 2125 Mcculloch Blvd, Ste B, Lake Havasu City, AZ 86403-5899 | 2006-09-27 |
| 1437164761 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 25 Lake Havasu Ave S, Lake Havasu City, AZ 86403-6565 | 2006-07-29 |
| 1164449377 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5695 Highway 95 N, Lake Havasu City, AZ 86404-9646 | 2006-07-16 |
| 1245255868 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 80 Acoma Blvd N, Lake Havasu City, AZ 86403-6932 | 2006-07-13 |
| Find all providers in LAKE HAVASU CITY | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on WALGREEN HOME CARE, INC.
| 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.