WALGREEN CO (NPI# 1093720039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093720039 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #04616 |
| Practice Address |
700 Frederick Blvd Portsmouth VA 23707-3314 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7573919121 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-11-13 |
| 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 | 201003510 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 008514755 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4832627 | 01 | |
| LA | 1223077 | 05 | |
| AR | 156808407 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04616 | 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 |
700 FREDERICK BLVD |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23707-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458054 | Michael B Udovich | Pharmacist | 700 Frederick Blvd, Portsmouth, VA 23707-3314 | 2020-08-22 |
| 1982977666 | Bobby Joseph Graham Jr. | Pharmacist | 700 Frederick Blvd, Portsmouth, VA 23707-3314 | 2012-02-10 |
| 1972874386 | Walgreen's Pharmacy | Pharmacist | 700 Frederick Blvd, Portsmouth, VA 23707-3314 | 2012-01-17 |
| 1154691921 | Kellie Forbes Lamb | Pharmacist | 700 Frederick Blvd, Portsmouth, VA 23707-3314 | 2012-01-10 |
| 1134499379 | Burton Leroy Johnson | Pharmacist | 700 Frederick Blvd, Portsmouth, VA 23707-3314 | 2012-01-05 |
| 1790055945 | Walgreens | Pharmacy | 700 Frederick Blvd, Portsmouth, VA 23707-3314 | 2012-01-05 |
| 1770864456 | Raymond Anthony Hernandez | Pharmacist | 700 Frederick Blvd, Portsmouth, VA 23707-3314 | 2011-09-07 |
| 1730395674 | Michael Antonino Stone | Pharmacist | 700 Frederick Blvd, Portsmouth, VA 23707-3314 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
| 1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
| 1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
| 1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
| 1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
| 1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
| 1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
| 1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
| 1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
| 1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
| Find all providers in zip 23707 | ||||
| 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 |
|---|---|---|---|---|
| 1497089429 | Concepts In Healthcare LLC | Pharmacy | 902 Washington St, Portsmouth, OH 45662-3945 | 2009-09-23 |
| 1114014313 | Smith Drug Co Inc | Pharmacy | 741 2nd St, Portsmouth, OH 45662-4001 | 2006-10-07 |
| 1861585507 | Pharmacy Operations, Inc. | Pharmacy | 801 Islington St, Portsmouth, NH 03801 | 2006-10-02 |
| 1629178066 | Maxi Drug North Inc | Pharmacy | 1303 Woodbury Avenue, Portsmouth, NH 03801-3210 | 2006-09-25 |
| 1275630105 | Drug Center Discount Pharmacy Inc | Pharmacy | 912 Airline Blvd, Portsmouth, VA 23707-3309 | 2006-09-20 |
| 1205847860 | Prime Pharmacy Inc | Pharmacy | 902 4th St, Portsmouth, OH 45662-4314 | 2006-08-10 |
| 1578574133 | Rx Plus Inc | Pharmacy | 3920 Us Highway 23, Portsmouth, OH 45662-6468 | 2006-08-10 |
| 1891729679 | Kroger Limited Partnership I | Pharmacy | 5601 High St W, Portsmouth, VA 23703-3758 | 2006-07-10 |
| 1285673632 | Bjs Wholesale Club Inc | Pharmacy | 1801 Woodbury Ave, Portsmouth, NH 03801-3228 | 2006-06-04 |
| 1669455135 | Act Nursing Services Inc | Pharmacy | 1600 Airline Blvd, Portsmouth, VA 23707-3941 | 2005-11-29 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23707 |
Please comment or provide details below to improve the information on WALGREEN CO.
| 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.