WALGREEN CO (NPI# 1083629331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083629331 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #06440 |
| Practice Address |
6951 S Kings Ranch Rd Gold Canyon AZ 85118-3012 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 4802887208 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2016-05-02 |
| 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 | Y03364 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0325882 | 01 | |
| AZ | 564337 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #06440 | 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 |
6951 S KINGS RANCH RD |
| City | GOLD CANYON |
| State | AZ |
| Zip Code | 85118-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518442227 | Disha Vasoya | Pharmacist | 6951 S Kings Ranch Rd, Gold Canyon, AZ 85118-3012 | 2018-09-27 |
| 1104271899 | Michael Luu | Pharmacist | 6951 S Kings Ranch Rd, Gold Canyon, AZ 85118-3012 | 2016-04-29 |
| 1194074856 | James Aaron Loui | Pharmacist | 6951 S Kings Ranch Rd, Gold Canyon, AZ 85118-3012 | 2012-09-09 |
| 1841502010 | Vivian Stock | Pharmacist | 6951 S Kings Ranch Rd, Gold Canyon, AZ 85118-3012 | 2010-07-05 |
| 1861704041 | Scott Eric Sjoberg | Pharmacist | 6951 S Kings Ranch Rd, Gold Canyon, AZ 85118-3012 | 2010-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255989190 | Christi Larson | Pharmacist | 6788 S Kings Ranch Rd, Suite 1, Gold Canyon, AZ 85118 | 2019-09-03 |
| 1962989244 | Deseret Medical Associates Plc | Chiropractor | 6410 S Kings Ranch Rd Ste 1, Gold Canyon, AZ 85118 | 2018-07-19 |
| 1467956425 | Gold Canyon Contemporary Dentistry | Dentist | 6900 E. Us Highway 60 Ste. #110, Gold Canyon, AZ 85118 | 2018-03-22 |
| 1699945998 | Randal Lavern Johnson | Pharmacist | 6832 S Kings Ranch Rd Ste 2, Gold Canyon, AZ 85118 | 2008-03-03 |
| 1649780420 | Ronald J Creasman | Internal Medicine | 3969 S Juniper Village Ct, Gold Canyon, AZ 85118-1700 | 2017-10-05 |
| 1033448352 | Mark Randall Grover | Social Worker | 6965 E Hacienda La Noria Ln, Gold Canyon, AZ 85118-1834 | 2009-12-15 |
| 1043418015 | Leslie D. Crabtree | Speech-Language Pathologist | 5044 S Las Mananitas Trl, Gold Canyon, AZ 85118-1847 | 2007-07-10 |
| 1366557381 | Bashas Inc | Pharmacy | 5311 S Superstition Mountain Dr, Gold Canyon, AZ 85118-1918 | 2006-08-20 |
| 1427665801 | Heargen LLC | Hearing Instrument Specialist | 5331 S Superstition Mountain Dr Ste C-107, Gold Canyon, AZ 85118-1921 | 2020-09-29 |
| 1841500824 | Gold Canyon Hearing, Pllc | Hearing Aid Equipment | 5331 S Superstition Mountain Dr, Suite C107, Gold Canyon, AZ 85118-1921 | 2010-10-08 |
| Find all providers in zip 85118 | ||||
| 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 |
|---|---|---|---|---|
| 1366557381 | Bashas Inc | Pharmacy | 5311 S Superstition Mountain Dr, Gold Canyon, AZ 85118-1918 | 2006-08-20 |
| 1114424199 | Pharmacy One LLC | Pharmacy | 6832 S Kings Ranch Rd Ste 2, Gold Canyon, AZ 85118-2929 | 2018-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244861 | Canyonlands Community Healthcare | Pharmacy | 103 Fairgrounds Rd, Duncan, AZ 85534-8234 | 2020-10-26 |
| 1790384212 | Copilot Provider Support Services | Pharmacy | 8700 East Pinnacle Peak Road Ste 111, Johnson Bank Building, Scottsdale, AZ 85255-8525 | 2020-10-26 |
| 1366041501 | White Nile | Pharmacy | 4338 W Thomas Rd Unit E5, Phoenix, AZ 85031-3878 | 2020-10-20 |
| 1366050536 | Mariposa Community Health Center | Pharmacy | 1103 Circulo Mercado, Rio Rico, AZ 85648-6248 | 2020-07-14 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1952924847 | Cheryl Mackie | Pharmacy | 8010 E Mcdowell Rd Ste 201-206, Scottsdale, AZ 85257-3867 | 2020-05-26 |
| 1306472865 | Cordant Pharmacy Arizona, LLC | Pharmacy | 6641 E Baywood Ave Ste 101, Mesa, AZ 85206-1723 | 2020-03-17 |
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1811532609 | Nexus Patient Services | Pharmacy | 5080 N 40th St Ste 300, Phoenix, AZ 85018-2164 | 2019-11-15 |
| 1649813320 | Hi-health-rx LLC | Pharmacy | 15207 N 75th St Ste 105, Scottsdale, AZ 85260-2445 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
| City | GOLD CANYON |
| Zip Code | 85118 |
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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.