WALGREEN CO (NPI# 1063609972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063609972 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #10639 |
| Practice Address |
99 Stafford St Worcester MA 01603-1456 |
| Mailing Address |
1901 E Voorhees St Mail Stop #790 Danville IL 61834-4509 |
| Practice Telephone | 5087976401 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | MR. ALAN T NIELSEN (TREASURER) |
| Authorized Official Telephone | 8473153523 |
| 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 | 3570 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110078014H | 05 | |
| NCPDP | 2242105 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #10639 | 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 |
99 STAFFORD ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01603-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558976290 | Daniel Munene | Pharmacist | 99 Stafford St, Worcester, MA 01603-1456 | 2020-09-10 |
| 1295346914 | Vishesh Patel | Pharmacist | 99 Stafford St, Worcester, MA 01603-1456 | 2020-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134783228 | Drx Uc Worcester PC | Family Medicine | 117 A Stafford St, Worcester, MA 01603 | 2019-04-24 |
| 1487165072 | Heather B Mandeville | Counselor | 70 James St., Suite #270, Worcester, MA 01603 | 2017-10-23 |
| 1952812059 | Jeffrey S Jones II | Social Worker | 70 James St Ste 270, Worcester, MA 01603 | 2017-10-16 |
| 1497275796 | Ardent Companion Homecare LLC | Home Health | 93 Stafford Street, Suite 202, Worcester, MA 01603 | 2017-06-27 |
| 1144769167 | Aloria Health of Worcester, LLC | Community Based Residential Treatment Facility, Mental Illness | 1183 Main St, Worcester, MA 01603 | 2017-02-23 |
| 1023562048 | Isha Sood | Dentist | Dental Dreams, 68 Stafford Street, Worcester, MA 01603 | 2016-08-08 |
| 1316395742 | Brandie Casassa | Counselor | 55 Seminole Drive, Worcester, MA 01603 | 2016-05-26 |
| 1760854699 | Accurate Health Care LLC | Custodial Care Facility | One Corporate Square, Hartford, CT 01603 | 2015-10-30 |
| 1093124182 | Taylor Pearson | Counselor | 24 Alsada Drive, Worcester, MA 01603 | 2014-08-04 |
| 1861732158 | Christiana Acheampong | Student in an Organized Health Care Education/Training Program | 540 Park Avenue, Worcester, MA 01603 | 2013-02-22 |
| Find all providers in zip 01603 | ||||
| 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 |
|---|---|---|---|---|
| 1588753115 | Big Y Foods Inc | Pharmacy | 100 Mayfield St, Worcester, MA 01602-3453 | 2006-10-12 |
| 1831202217 | Golub Corporation | Pharmacy | 72 Pullman St, Worcester, MA 01606-3311 | 2006-08-17 |
| 1063525574 | Golub Corporation | Pharmacy | 50 Cambridge St, Worcester, MA 01610 | 2006-08-17 |
| 1912939893 | Stop and Shop Supermarket Co LLC | Pharmacy | 949 Grafton St, Worcester, MA 01604-2003 | 2006-07-07 |
| 1801842331 | Shaws Supermarkets Inc | Pharmacy | 201 Grafton St, Worcester, MA 01604-4904 | 2006-05-26 |
| 1477851798 | Quality Pharmacy Corp | Pharmacy | 664 Main St, Worcester, MA 01610-3124 | 2011-03-10 |
| 1669630950 | Umass Memorial Medical Center, Inc. | Pharmacy | 119 Belmont St, Memorial Campus, Worcester, MA 01605-2903 | 2008-05-23 |
| 1346384641 | Winthrop Apothecary, Inc. | Pharmacy | 10 Winthrop St, Worcester, MA 01604-4435 | 2007-02-19 |
| 1447399225 | Family Health Center of Worcester, Inc. | Pharmacy | 26 Queen St, Pharmacy, Worcester, MA 01610-2473 | 2007-02-06 |
| 1679574933 | Umass Memorial Medical Center | Pharmacy | 55 Lake Ave N, Worcester, MA 01655-0002 | 2005-08-09 |
| Find all providers in WORCESTER | ||||
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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.