WALGREEN CO (NPI# 1043733173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043733173 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #19765 |
| Practice Address |
385 Old Gallatin Rd Scottsville KY 42164-8667 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2177092386 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | KIRA TAYLOR (MANAGER) |
| Authorized Official Telephone | 2177092351 |
| 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 | 7100507320 | 05 | |
| KY | BOARD OF PHARMACY | PO7877 | 01 |
| Other Name | Type Code |
|---|---|
| Rite Aid | Doing Business As Name - Organization |
| Walgreens #19765 | 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 |
385 OLD GALLATIN RD |
| City | SCOTTSVILLE |
| State | KY |
| Zip Code | 42164-8667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679863443 | Michael Wayne Clauson | Pharmacist | 385 Old Gallatin Rd, Scottsville, KY 42164-8667 | 2011-04-14 |
| 1740892637 | Daniel Teberg | Pharmacist | 385 Old Gallatin Rd, Scottsville, KY 42164-8667 | 2020-08-20 |
| 1548550098 | James K Howard | Pharmacist | 385 Old Gallatin Rd, Scottsville, KY 42164-8667 | 2011-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490790 | Jerry Moore Scott | Technician | 6184 Old Glasgow Rd, Scottsville, KY 42164 | 2019-10-30 |
| 1457697146 | Southern Medical Supply | Durable Medical Equipment & Medical Supplies | 625 Kentucky 980, Scottsville, KY 42164 | 2012-12-27 |
| 1649336348 | Carpenter Dent Drugs Inc | Durable Medical Equipment & Medical Supplies | 1088 Veterans Memorial, Scottsville, KY 42164 | 2006-12-28 |
| 1548334105 | Ann Marie Davis | Dentist | 306 B North Court Street, Scottsville, KY 42164 | 2006-11-17 |
| 1194897959 | Angel Faye Duncan | Developmental Therapist | 147 Homestead Court, Scottsville, KY 42164 | 2006-11-15 |
| 1619517893 | Commonwealth Health Corporation, Inc. | Nurse Practitioner | 1545 Bowling Green Rd Rm 803, Bowling Green, KY 42164 | 2020-01-15 |
| 1760043129 | Paige Jordan Flora | Rehabilitation Counselor | 512 Bowling Green Rd, Scottsville, KY 42164 | 2019-06-26 |
| 1427292531 | Hilltop Family Dental Care, Psc | Dentist | 1046 Veterans Memorial Highway, Scottsville, KY 42164 | 2009-04-21 |
| 1700989217 | Bowling Green Warren County Community Hospital Corporation | General Acute Care Hospital | 456 Burnley Rd, Scottsville, KY 42164 | 2006-09-07 |
| 1063969582 | Heather Shepherd | Social Worker | 512 Bowling Green Rd, Scottsville, KY 42164-0512 | 2016-09-01 |
| Find all providers in zip 42164 | ||||
| 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 |
|---|---|---|---|---|
| 1164554192 | Stovalls Prescription Shop Inc | Pharmacy | 31 Burnley Rd, Scottsville, KY 42164-6357 | 2007-03-13 |
| 1255463287 | Stovalls Prescription Shop Inc | Pharmacy | 202 S Court St, Scottsville, KY 42164-1263 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893999 | Lewis County Primary Care Center, Inc | Pharmacy | 645 Interstate Drive, Grayson, KY 41143 | 2020-08-27 |
| 1851925986 | Bardwell Pharmacy LLC | Pharmacy | 178 Us Highway 51 N, Bardwell, KY 42023-9096 | 2020-02-27 |
| 1114563319 | Inspire Rx Pharmacy LLC | Pharmacy | 950 N Mulberry St Ste 100a, Elizabethtown, KY 42701-3629 | 2019-11-22 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1376029025 | Elizabeth Prather | Pharmacy | 7220 Burlington Pike Ste I, Florence, KY 41042-1586 | 2018-07-16 |
| 1942791231 | Patek Pharmacy LLC | Pharmacy | 8600 Preston Hwy, Louisville, KY 40219-5306 | 2018-05-23 |
| 1184122160 | Saint Joseph Health System, Inc. | Pharmacy | 120 N Eagle Creek Dr Ste 101, Suite 101, Lexington, KY 40509-1827 | 2018-01-25 |
| 1326556853 | Jumeirah Global LLC | Pharmacy | 604 Crystal Pl Ste 3, La Grange, KY 40031-1297 | 2018-01-18 |
| 1487165478 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Rt 122, Martin, KY 41649 | 2017-10-17 |
| 1326565755 | Aadhya Healthcare LLC | Pharmacy | 2713 Fort Campbell Blvd, Hopkinsville, KY 42240-4940 | 2017-08-25 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSVILLE |
| Zip Code | 42164 |
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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.