WALGREEN CO (NPI# 1083629067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083629067 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #03146 |
| Practice Address |
561 Irvington Ave # 579 Newark NJ 07106 |
| Mailing Address |
1901 E Voorhees St Ms #790 Danville IL 61834-4509 |
| Practice Telephone | 9733730387 |
| Practice Fax Number | 9733992614 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| 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 | RS003814 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NCPDP | 3127811 | 01 |
| NJ | 4374401 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #03146 | 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 |
561 IRVINGTON AVE # 579 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508148081 | Altaf Hussain | Pharmacist | 561 Irvington Ave # 579, Newark, NJ 07106-3103 | 2011-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982175535 | Mayurkumar M Rana | Pharmacist | Komishane's Pharmacy, 199 Stuyvesant Ave, Newak, NJ 07106 | 2018-12-07 |
| 1710457346 | Vikki Hatcher | Massage Therapist | 525 Lrvington Avenue Floor 2, Newark, NJ 07106 | 2018-11-27 |
| 1942728258 | Amen Transporation LLC | Transportation Broker | 105 Lenox Street, Newark, NJ 07106 | 2017-09-07 |
| 1073898466 | Rashmi Singh | Pharmacist | 561-579 Irvington Ave, Newark, NJ 07106 | 2011-10-17 |
| 1760767669 | Shridevi Patel | Pharmacist | 561 Irvington Avenue, Newark, NJ 07106 | 2011-10-12 |
| 1184239352 | Chenbin Frederick Liao | Pharmacist | 561-579 Irvington Ave, Newark, NJ 07106 | 2020-09-14 |
| 1740550763 | Maria Veronica Cruz Camacho | Pharmacist | 561-579 Irvington Ave, Newark, NJ 07106 | 2012-01-06 |
| 1093015000 | Dereck L Dillard | Home Health Aide | 238 Smith St, Newark, NJ 07106 | 2010-10-25 |
| 1245240571 | Raisa Samuylova | Dentist | 5 Manor Dr, Suite #1c, Newark, NJ 07106 | 2006-08-09 |
| 1265614911 | Mavis Camalita Faulknor | Dietitian, Registered | 78 Kenmore Ave, Newark, NJ 07106-1026 | 2007-12-04 |
| Find all providers in zip 07106 | ||||
| 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 |
|---|---|---|---|---|
| 1043828577 | Siddhivinayak Inc. | Pharmacy | 90 Bergen St # 1600, Newark, NJ 07103-2425 | 2020-07-21 |
| 1518438506 | Delaware Apothecary | Pharmacy | 1215 Churchmans Rd, Newark, DE 19713-2149 | 2018-12-17 |
| 1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
| 1770011371 | Apollo Pharmacy Inc | Pharmacy | 130 Summer Ave, Newark, NJ 07104-1903 | 2017-05-25 |
| 1235681032 | Jcpr Corp | Pharmacy | 2600 Glasgow Ave Ste 108, Newark, DE 19702-5703 | 2016-10-27 |
| 1750835104 | Trinity Global Pharmacy LLC. | Pharmacy | 287 S Orange Ave, Newark, NJ 07103-2438 | 2016-08-14 |
| 1184000622 | Metro Pharmacy Inc | Pharmacy | 620 Stanton Christiana Rd Ste 102, Newark, DE 19713-2134 | 2015-08-06 |
| 1538557178 | Obeng Pharmacy LLC | Pharmacy | 671 Martin Luther King Jr Blvd, Newark, NJ 07102-1186 | 2015-01-06 |
| 1790917037 | Trimax Medical Services Inc | Pharmacy | 1299 Mccarter Hwy, Newark, NJ 07104-3757 | 2009-08-20 |
| 1720241649 | Option Care Enterprises Inc | Pharmacy | 604 White Clay Center Dr, Newark, DE 19711 | 2008-07-10 |
| Find all providers in NEWARK | ||||
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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.