WALGREEN CO (NPI# 1063435360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063435360 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #12462 |
| Practice Address |
700 S Ridge Ave Middletown DE 19709-4649 |
| Mailing Address |
1901 E Voorhees St Mail Stop #790 Danville IL 61834-4509 |
| Practice Telephone | 3023789512 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-11-12 |
| 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 | A3-0000903 | DE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 411211300 | 05 | |
| PA | 1007303600026 | 05 | |
| MD | MEDICAID DME | 413039100 | 01 |
| OTHER ID | 0802050 | 01 | |
| DE | 0000053307 | 05 |
| Other Name | Type Code |
|---|---|
| Walgreens #12462 | 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 |
700 S RIDGE AVE |
| City | MIDDLETOWN |
| State | DE |
| Zip Code | 19709-4649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861004178 | Anh Vu | Pharmacist | 700 S Ridge Ave, Middletown, DE 19709-4649 | 2020-08-18 |
| 1760844658 | Stephanie Perillo | Pharmacist | 700 S Ridge Ave, Middletown, DE 19709-4649 | 2016-03-22 |
| 1124438585 | Jonathan Koval | Pharmacist | 700 S Ridge Ave, Middletown, DE 19709-4649 | 2014-05-06 |
| 1023399037 | John J Mckenna IIi | Pharmacist | 700 S Ridge Ave, Middletown, DE 19709-4649 | 2011-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249797 | Lucinda M Cadet | Social Worker | 600 N. Broad Street, Suite 5, #768, Middletown, DE 19709 | 2020-09-11 |
| 1447870118 | Adella Sangarie | Licensed Practical Nurse | 712 Wood Duck Ct, Middletown, DE 19709 | 2020-04-22 |
| 1336600535 | Nathan Lo | Student in an Organized Health Care Education/Training Program | 937 Whispering Trail, Middletown, DE 19709 | 2019-03-29 |
| 1629559554 | Acceptance Counseling, LLC | Social Worker | 115 N. Broad St, Ste 1, Middletown, DE 19709 | 2018-08-28 |
| 1356844492 | Eden Hill Expresscare, LLC | Clinic/Center | 749 Middletown Warwick Road, Middletown, DE 19709 | 2018-03-15 |
| 1740782135 | Angela L Robinson | Counselor | 5350 Summit Bridge Rd Ste 103, Middletown, DE 19709 | 2018-03-02 |
| 1417456492 | Metanoia Counseling, LLC | Clinic/Center | 101 West Park Place, Middletown, DE 19709 | 2018-02-06 |
| 1275031114 | Nicole Brody Gomes | Physical Therapist | 210 Cleaver Farms Rd, Ste 1, Middletown, DE 19709 | 2018-01-25 |
| 1972012383 | Raymond Robert Solinger | Physical Therapist | 210 Cleaver Farms Rd Ste 1, Middletown, DE 19709 | 2017-09-28 |
| 1811432008 | Leslie Nkansah | Pharmacist | 367 Ellenwood Drive, Middletown, DE 19709 | 2016-12-27 |
| Find all providers in zip 19709 | ||||
| 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 |
|---|---|---|---|---|
| 1629592001 | Dolsontown Pharmacy Corp. | Pharmacy | 1291 Dolsontown Rd Ste 2, Middletown, NY 10940-4772 | 2017-07-27 |
| 1265864912 | Tas Pharmacy Inc | Pharmacy | 445 North St Route 17 M, Middletown, NY 10940-0000 | 2013-08-05 |
| 1699047423 | Clark Rx LLC | Pharmacy | 710 S Breiel Blvd Ste B, Middletown, OH 45044-6202 | 2012-02-09 |
| 1013211507 | Rite Aid Corporation | Pharmacy | 1 Fitzgerald Dr, Middletown, NY 10940-3059 | 2010-12-27 |
| 1255507695 | Prestige Pharmacy Inc | Pharmacy | 36 42 James St, Middletown, NY 10940 | 2008-05-06 |
| 1619036142 | Ck Kc Inc | Pharmacy | 436 East Main Street, Middletown Pharmacy & Gift Shop, Middletown, PA 17057 | 2006-12-08 |
| 1760576177 | Kevren Inc | Pharmacy | 1971 Central Avenue, Middletown, OH 45044 | 2006-10-03 |
| 1811009822 | Middletown Apothecary Inc | Pharmacy | 149 Wickham Ave, Middletown, NY 10940-3721 | 2006-08-31 |
| 1205849635 | Golub Corporation | Pharmacy | 511 Shutt Street, Middletown, NY 10940 | 2006-08-15 |
| 1932128964 | Stop and Shop Supermarket Co LLC | Pharmacy | Rt 35s and Twin Brook Ave, Middletown, NJ 07748 | 2006-07-19 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 19709 |
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.