WALGREEN CO (NPI# 1063651941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063651941 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #12568 |
| Practice Address |
814 E Main St Laurens SC 29360-3535 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8649845283 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2016-10-04 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 50-010355 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DE3196 DME | 05 | |
| NCPDP | 4228486 | 01 | |
| SC | 71575D | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #12568 | 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 |
814 E MAIN ST |
| City | LAURENS |
| State | SC |
| Zip Code | 29360-3535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740834787 | Elizabeth Holley | Pharmacist | 814 E Main St, Laurens, SC 29360-3535 | 2019-07-29 |
| 1629551122 | Bradley Taylor Leonard | Pharmacist | 814 E Main St, Laurens, SC 29360-3535 | 2018-09-11 |
| 1922517812 | Tess Mccall | Pharmacist | 814 E Main St, Laurens, SC 29360-3535 | 2017-09-24 |
| 1386199966 | Rebecca Pollack | Pharmacist | 814 E Main St, Laurens, SC 29360-3535 | 2016-08-24 |
| 1528347986 | Scott Stephen Goodwill | Pharmacist | 814 E Main St, Laurens, SC 29360-3535 | 2011-08-16 |
| 1376840447 | Martha Wessinger Taylor | Pharmacist | 814 E Main St, Laurens, SC 29360-3535 | 2011-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629564323 | Dj Healthcare Group | Counselor | 639 Sullivan Street, Laurens, SC 29360 | 2018-07-05 |
| 1770082158 | Carrie Abigail Culbertson | Counselor | 112 Henderson Lane, Laurens, SC 29360 | 2018-02-12 |
| 1508305186 | Amy Ledford Strickland | Nurse Practitioner | 22580 Highway 76 E Ste 300, Laurens, SC 29360 | 2017-02-16 |
| 1346785730 | Virginia Smith | Registered Nurse | 1035 West Main Street, Laurens, SC 29360 | 2016-12-21 |
| 1245774066 | Donna Gragg | Licensed Practical Nurse | 601 Lucas Ave, Laurens, SC 29360 | 2016-12-13 |
| 1174891840 | Lori Hilley West | Pharmacist | 1518 W. Main St., Laurens, SC 29360 | 2011-12-08 |
| 1841575701 | Lauren Allen Turner | Speech-Language Pathologist | 307 Pinehaven Street, Laurens, SC 29360 | 2011-10-11 |
| 1710217856 | Rachael Carroll | Occupational Therapy Assistant | 379 Pinehaven St Ext, Laurens, SC 29360 | 2010-01-13 |
| 1437384245 | Amy J Floyd | Occupational Therapy Assistant | 379 Pinehaven St. Ext, Laurens, SC 29360 | 2009-05-22 |
| 1275768228 | Laurens Electric Cooperative | Emergency Response System Companies | 2254 Hwy 14, Laurens, SC 29360 | 2009-05-20 |
| Find all providers in zip 29360 | ||||
| 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 |
|---|---|---|---|---|
| 1578607289 | Wattsville Drugs Inc | Pharmacy | 24 Sirrine St, Laurens, SC 29360-2136 | 2007-02-16 |
| 1285625038 | Adair Apothecary, LLC | Pharmacy | 911 W Main St, Laurens, SC 29360-2605 | 2005-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144840026 | Salubrius Pharmacy, LLC | Pharmacy | 120 Clair Dr, Powdersville, SC 29673-7771 | 2020-04-21 |
| 1073146502 | Greenville Health Corporation | Pharmacy | 115 N Sumter St Ste 220, Sumter, SC 29150-4972 | 2020-02-12 |
| 1043858996 | M Holdings LLC | Pharmacy | 808 Highway 378 Ste A, Lexington, SC 29072-8379 | 2019-12-11 |
| 1033760483 | Eau Claire Cooperative Health Center, Inc. | Pharmacy | 3041 Old Eastover Rd, Eastover, SC 29044-8303 | 2019-09-26 |
| 1467002816 | Black River Pharmacy LLC | Pharmacy | 32a N Williamsburg County Hwy, Kingstree, SC 29556-2433 | 2019-09-18 |
| 1548821457 | Dipti H Patel | Pharmacy | 636 Chartwell Dr, Greer, SC 29650-4787 | 2019-06-23 |
| 1972163350 | Genesis Health Care, Inc | Pharmacy | 211 S Jones Rd Ste A, Olanta, SC 29114-9705 | 2019-06-18 |
| 1013571314 | Publix Super Markets, Inc. | Pharmacy | 730 Hopewell Drive, Charleston-berkeley, SC 29492-7102 | 2019-04-23 |
| 1548769219 | Long's Drugstores of South Carolina, Inc. | Pharmacy | 811 Pendleton St Ste 10, Greenville, SC 29601-3232 | 2018-02-07 |
| 1740788066 | Zivitski Health Group LLC | Pharmacy | 345 W Main Street, Gray Court, SC 29645 | 2018-02-01 |
| Find all providers with the same taxonomy | ||||
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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.