WALGREEN CO (NPI# 1063427383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063427383 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #05941 |
| Practice Address |
1251 4th St Sw Mason City IA 50401-2710 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 6414232035 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-05-09 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 1128 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1620625 | 01 | |
| IA | 0211763 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #05941 | 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 |
1251 4TH ST SW |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346897527 | Kaylee Michele Kacmarynski | Pharmacist | 1251 4th St Sw, Mason City, IA 50401-2710 | 2019-08-21 |
| 1518513225 | Jamie Knie | Pharmacist | 1251 4th St Sw, Mason City, IA 50401-2710 | 2019-08-18 |
| 1063895142 | Jade Engstler | Pharmacist | 1251 4th St Sw, Mason City, IA 50401-2710 | 2015-07-07 |
| 1255749859 | Whitney Mills | Pharmacist | 1251 4th St Sw, Mason City, IA 50401-2710 | 2014-07-27 |
| 1215361340 | Sharon Jeanette Griffiths | Pharmacist | 1251 4th St Sw, Mason City, IA 50401-2710 | 2013-08-26 |
| 1790067635 | Douglass Stuart Campbell | Pharmacist | 1251 4th St Sw, Mason City, IA 50401-2710 | 2011-09-16 |
| 1871875930 | Janet Alane Miller | Pharmacist | 1251 4th St Sw, Mason City, IA 50401-2710 | 2011-09-15 |
| 1063793958 | Lisa Jean Hubka | Pharmacist | 1251 4th St Sw, Mason City, IA 50401-2710 | 2011-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| 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 |
|---|---|---|---|---|
| 1134204738 | Mercy Health Services-iowa Corp. | Pharmacy | 1010 4th St Sw Ste 110, Mason City, IA 50401-2856 | 2006-10-25 |
| 1639184278 | Julianne A Manuel | Pharmacy | 149 E Chestnut St, Mason City, IL 62664-1403 | 2006-07-30 |
| 1114944592 | Walmart Inc. | Pharmacy | 4151 4th St Sw, Mason City, IA 50401-7346 | 2006-07-16 |
| 1801975065 | Mercy Health Services-iowa Corp | Pharmacy | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2006-11-06 |
| 1639253990 | Mercy Health Services-iowa Corp. | Pharmacy | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2006-10-24 |
| 1962591370 | Mercy Health Services-iowa Corp. | Pharmacy | 621 S Illinois Ave Ste 101, Mason City, IA 50401-5489 | 2006-10-12 |
| 1154352110 | K Mart Corp | Pharmacy | 2006 4th St Sw, Mason City, IA 50401-4603 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478868 | Prescription Shoppe, Inc | Pharmacy | 606 Rossville Rd, Waukon, IA 52172-2228 | 2020-08-18 |
| 1851910681 | Daniel Teague | Pharmacy | 304 E Ferndale Dr, Council Bluffs, IA 51503-4880 | 2020-04-12 |
| 1972169282 | Hughes Pharmacy Services Inc. | Pharmacy | 105 South Broadway Avenue, West Bend, IA 50597 | 2019-05-13 |
| 1770044315 | Niedermann Pharmacy Inc | Pharmacy | 112 E Washington St., Monroe, IA 50170 | 2019-03-27 |
| 1104385806 | Pca Iowa Rx, LLC | Pharmacy | 4307 Nw Urbandale Dr, Urbandale, IA 50322-7910 | 2019-03-13 |
| 1740750488 | Preston James Witt | Pharmacy | 13687 Summit Drive, Clive, IA 50325-5032 | 2018-11-26 |
| 1235635285 | Des Moines Central Correctional Pharmacy | Pharmacy | 250 Elm Ave Sw, Mitchellville, IA 50169-9610 | 2018-03-30 |
| 1982111415 | Prescription Shoppe Telepharmacy LLC | Pharmacy | 139 N Lawler St, Postville, IA 52162 | 2018-01-05 |
| 1962929505 | Genoa Healthcare, LLC | Pharmacy | 1441 W Central Park Ave Ste 53, Davenport, IA 52804-1707 | 2017-08-24 |
| 1457803876 | Central Iowa Hospital Corporation | Pharmacy | 3625 N Ankeny Blvd, Suite A, Ankeny, IA 50023-4610 | 2016-11-02 |
| Find all providers with the same taxonomy | ||||
| City | MASON CITY |
| Zip Code | 50401 |
Please comment or provide details below to improve the information on WALGREEN CO.
| 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.