WALGREEN CO (NPI# 1083850549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083850549 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #11227 |
| Practice Address |
2299 Oddie Blvd Sparks NV 89431-7573 |
| Mailing Address |
1901 E Voorhees St M/s 790 Danville IL 61834-4509 |
| Practice Telephone | 7753584721 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2016-01-11 |
| 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 | PH02513 | NV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 2991544 | 01 | |
| NV | 1083850549 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #11227 | 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 |
2299 ODDIE BLVD |
| City | SPARKS |
| State | NV |
| Zip Code | 89431-7573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134731250 | Joshua Jou | Pharmacist | 2299 Oddie Blvd, Sparks, NV 89431-7573 | 2020-08-19 |
| 1730580119 | Derek Engebretson | Pharmacist | 2299 Oddie Blvd, Sparks, NV 89431-7573 | 2014-09-04 |
| 1700154259 | Edward Mackie | Pharmacist | 2299 Oddie Blvd, Sparks, NV 89431-7573 | 2011-12-12 |
| 1073897054 | Christopher Robin Smyrniotis Jr. | Pharmacist | 2299 Oddie Blvd, Sparks, NV 89431 | 2011-10-07 |
| 1770866196 | Frances Iris Dagumboy Manzano | Pharmacist | 2299 Oddie Blvd, Sparks, NV 89431-7573 | 2011-09-21 |
| 1811279805 | Anne Lynn Nelson | Pharmacist | 2299 Oddie Blvd, Sparks, NV 89431-7573 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958033 | Jerome Johnson II | Behavioral Analyst | 3115 Saltern Way, Sparks, NV 89431 | 2019-12-09 |
| 1528520640 | Dynisha Bernee Richardson | Technician, Other | 616 Victorian Ave, Sparks, NV 89431 | 2019-04-05 |
| 1902376494 | Avalon Care Center-va Reno, LLC | Skilled Nursing Facility | 36 Battle Born Way, Sparks, NV 89431 | 2018-11-28 |
| 1669964128 | Abraham A Arellano | Behavioral Analyst | 2005 Probasco Way, Sparks, NV 89431 | 2018-05-31 |
| 1003335399 | Carresa Greer | Counselor | 390 Freeport Blvd #3, Sparks, NV 89431 | 2017-09-18 |
| 1689197444 | Fred Blauth Jr. | Counselor | 2105 Sullivan Ln, Sparks, NV 89431 | 2017-07-24 |
| 1548719255 | Adolescent Treatment Center | Community Based Residential Treatment Facility, Mental Illness | 480 Galetti Way, Sparks, NV 89431 | 2016-09-23 |
| 1124478862 | Kristina Schneider | Behavioral Analyst | 3230 Wedekind Rd, 50, Sparks, NV 89431 | 2016-06-14 |
| 1336506898 | Rikki Texter | Occupational Therapy Assistant | 1025 Robert Lane, Sparks, NV 89431 | 2016-01-28 |
| 1851760177 | Elizabeth Ojeda | Counselor | 490 Galletti Way, Building 8c, Sparks, NV 89431 | 2015-09-16 |
| Find all providers in zip 89431 | ||||
| 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 |
|---|---|---|---|---|
| 1356388789 | Albertsons LLC | Pharmacy | 9750 Pyramid Lake Hwy, Sparks, NV 89436-7549 | 2006-06-02 |
| 1851897664 | Community Health Alliance | Pharmacy | 2244 Oddie Blvd, Sparks, NV 89431-7574 | 2018-04-02 |
| 1700245560 | Uhs Retail Pharmacy, LLC | Pharmacy | 2345 E Prater Way Ste 111, Sparks, NV 89434-9664 | 2016-02-22 |
| 1275931404 | Uhs Retail Pharmacy LLC | Pharmacy | 2345 E Prater Way Ste 111, Sparks, NV 89434-9664 | 2014-12-22 |
| 1699714071 | Albertsons LLC | Pharmacy | 565 E Prater Way, Sparks, NV 89431-4685 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467085381 | Cmh Pharmacy LLC | Pharmacy | 6445 W Sunset Rd Ste 168, Las Vegas, NV 89118-3321 | 2020-02-19 |
| 1033740691 | Evergreen Pharmacy Inc | Pharmacy | 4110 S Maryland Pkwy Ste 17, Las Vegas, NV 89119-7505 | 2020-01-31 |
| 1134765837 | Scriptdash Inc | Pharmacy | 600 Pilot Rd Ste A, Las Vegas, NV 89119-9011 | 2019-11-18 |
| 1083257729 | Economy Drug, Inc. | Pharmacy | 91 N. Main St, Eureka, NV 89316 | 2019-10-25 |
| 1124678453 | Kcklg LLC | Pharmacy | 6496 Medical Center St Ste 101, Las Vegas, NV 89148-2409 | 2019-09-18 |
| 1417504382 | Eglc LLC | Pharmacy | 6725 S Eastern Ave Ste 8, Las Vegas, NV 89119-3949 | 2019-08-24 |
| 1396309332 | Asp Management, Inc. | Pharmacy | 4040 N Martin L King Blvd, North Las Vegas, NV 89032-3205 | 2019-04-25 |
| 1023671518 | Jay Mataji Inc | Pharmacy | 2202 W Charleston Blvd Ste 13, Las Vegas, NV 89102-2229 | 2019-04-19 |
| 1609439280 | Central Rx Services, LLC | Pharmacy | 1451 Center Crossing Rd, Las Vegas, NV 89144-7047 | 2019-04-18 |
| 1093202046 | Benzene Khemikals | Pharmacy | 3050 E Bonanza Rd Ste 160, Las Vegas, NV 89101-3707 | 2018-04-16 |
| 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.