WALGREEN CO (NPI# 1053667097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053667097 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #15829 |
| Practice Address |
2626 Federal St. Camden NJ 08105 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8569630300 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | ALYSSA SWEETEN (MANAGER) |
| Authorized Official Telephone | 2177092386 |
| 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 | 28RS00693000 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0571393 | 05 | |
| NJ | NCPDP | 3199002 | 01 |
| Other Name | Type Code |
|---|---|
| Walgreens #15829 | 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 |
2626 FEDERAL ST. |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740722016 | Christina Santos | Community Health Worker | 140 North 34 Street, Camden, NJ 08105 | 2016-11-17 |
| 1801276761 | Cramer Hill Home Care Inc. | Home Health | 3213-15 River Rd., Unit D, Camden, NJ 08105 | 2015-06-05 |
| 1215241393 | Raghu Ram Inc | Pharmacy | 3703 Westfield Ave, Camden, NJ 08105 | 2010-08-02 |
| 1730324880 | Stenell Greene | Counselor | 2940 Waldorf Avenue, Apt A, Camden, NJ 08105 | 2008-12-03 |
| 1093865115 | Camille Henry | Internal Medicine | 1865 Harrison Ave Ste 1300, Camden, NJ 08105 | 2007-01-11 |
| 1407862378 | Ashokkumar Balubhai Patel | Family Medicine | 2827 Westfield Ave., Camden, NJ 08105 | 2006-07-31 |
| 1538126339 | Glenda Rabie | Family Medicine | 309 Marlton Ave, Camden, NJ 08105 | 2006-04-27 |
| 1699765354 | Danielle S. Nordone | Family Medicine | 3156 River Road, Cooper Family Medicine, PC, Camden, NJ 08105 | 2005-10-25 |
| 1851842207 | Viswa Prakash Varma Mantena | Pharmacist | 3213 River Rd, Camden, NJ 08105 | 2016-10-20 |
| 1205298940 | Isha Marina Di Bartolo | Internal Medicine | 1865 Harrison Ave Ste 1300, Camden, NJ 08105 | 2016-03-22 |
| Find all providers in zip 08105 | ||||
| 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 |
|---|---|---|---|---|
| 1962811125 | Broadway Discount Pharmacy Inc | Pharmacy | 315 S. Broadway, Broadway Discount Pharmacy Inc, Camden, NJ 08103-1208 | 2014-08-12 |
| 1912146135 | Cramer Hill Pharmacy | Pharmacy | 949 N 25th St, Camden, NJ 08105-3823 | 2009-02-11 |
| 1821124223 | Rajsita LLC | Pharmacy | 2940 Yorkship Sq, Camden, NJ 08104-2895 | 2007-02-27 |
| 1528101680 | Kasp LLC | Pharmacy | 433 N 7th St, Camden, NJ 08102-2212 | 2007-02-15 |
| 1144393471 | Brookshire Grocery Company | Pharmacy | 1345 Hwy 4 Spur Sw, Attention Pharmacy Dept, Camden, AR 71701 | 2006-11-16 |
| 1871675678 | Carol A Hardin | Pharmacy | 75 W Central Ave, Camden, OH 45311-1007 | 2006-10-20 |
| 1336256510 | Kph Healthcare Services, Inc. | Pharmacy | 2 Preston St, Camden, NY 13316-1216 | 2006-08-24 |
| 1689691867 | Wal-mart Stores East Lp | Pharmacy | 2200 Highway 641 N, Camden, TN 38320-5276 | 2006-07-16 |
| 1558393579 | Freds Stores of Tennessee Inc | Pharmacy | 24 Camden Byp, Camden, AL 36726-1770 | 2006-07-07 |
| 1154365468 | Main Street Pharmacies of South Carolina, LLC | Pharmacy | 1023a W Dekalb St, Camden, SC 29020-4162 | 2006-06-16 |
| Find all providers in CAMDEN | ||||
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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.