WALGREEN CO (NPI# 1093720278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093720278 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #06292 |
| Practice Address |
5405 66th St N St Petersburg FL 33709-1510 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7275443008 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-05-07 |
| 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 | PH18545 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1095101 | 01 | |
| FL | 025475400 | 05 | |
| FL | 025475401 DME | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #06292 | 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 |
5405 66TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063794741 | Duy Truong | Pharmacist | 5405 66th St N, St Petersburg, FL 33709-1510 | 2011-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| 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 |
|---|---|---|---|---|
| 1437438082 | Publix Super Markets Inc | Pharmacy | 1700 34th St N, St Petersburg, FL 33713-3602 | 2011-08-15 |
| 1306134952 | Urban Specialty Pharmacy LLC | Pharmacy | 1617 34th St S Ste A, St Petersburg, FL 33711-2855 | 2011-07-18 |
| 1558657718 | Amicitia Pharma LLC | Pharmacy | 4105 49th St N Ste B, St Petersburg, FL 33709-5711 | 2011-06-24 |
| 1154624856 | Apothecary Pharmacy LLC | Pharmacy | 4749 34th St S, St Petersburg, FL 33711-4507 | 2010-12-19 |
| 1518109685 | Umbra Inc | Pharmacy | 5415 4th St N, St Petersburg, FL 33703-2249 | 2009-04-03 |
| 1205975257 | Curant Health Florida LLC | Pharmacy | 11001 Roosevelt Blvd N Ste 1400, St Petersburg, FL 33716-2338 | 2007-02-06 |
| 1972663102 | Optumcare Florida LLC | Pharmacy | 7601 9th St N, Ste C 1, St Petersburg, FL 33702-5211 | 2006-12-11 |
| 1457382574 | K Mart Corp | Pharmacy | 2900 34th St N, St Petersburg, FL 33713-3623 | 2006-07-06 |
| 1487685590 | K Mart Corp | Pharmacy | 3951 34th St S, St Petersburg, FL 33711-4360 | 2006-07-06 |
| 1659318087 | Albertsons LLC | Pharmacy | 3900 66th St N, St Petersburg, FL 33709-4912 | 2006-06-02 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
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.