WALGREEN CO (NPI# 1093722027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093722027 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #04772 |
| Practice Address |
3005 Lake St Omaha NE 68111-3780 |
| Mailing Address |
1901 E Voorhees St Ms790 Danville IL 61834-4509 |
| Practice Telephone | 4024517201 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2016-08-23 |
| 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 | 2400 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1093722027 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2815504 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04772 | 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 |
3005 LAKE ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68111-3780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114540523 | Charles R Knight | Pharmacist | 3005 Lake St, Omaha, NE 68111-3780 | 2020-05-19 |
| 1932611183 | Van Anh Quynh Hoang | Pharmacist | 3005 Lake St, Omaha, NE 68111-3780 | 2017-10-27 |
| 1972054096 | Alison J. Guinan | Pharmacist | 3005 Lake St, Omaha, NE 68111-3780 | 2016-10-24 |
| 1497022560 | Nathan Joseph Wigdahl | Pharmacist | 3005 Lake St, Omaha, NE 68111-3780 | 2011-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124501341 | Monique Visocky | Social Worker | 4110 N 36th St, Omaha, NE 68111 | 2018-09-13 |
| 1629529052 | Alexis Rae Mcgary | Speech-Language Pathologist | 4304 North 33rd Street, Omaha, NE 68111 | 2016-10-20 |
| 1811247299 | St Benedict The Moor Catholic Church | Social Worker | 2423 Grant St, Omaha, NE 68111 | 2012-09-13 |
| 1699926337 | Lizabeth A Post | Counselor | 4410 N 36th, Omaha, NE 68111 | 2008-09-30 |
| 1043639594 | Victoria Lynne Cassidy | Counselor | 4318 Fort St, Omaha, NE 68111 | 2014-04-14 |
| 1215232517 | Karen R Allington | Counselor | 3483 Larimore Ave, Omaha, NE 68111 | 2011-01-18 |
| 1992926497 | Vincent E Kershaw | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2007-05-01 |
| 1215948591 | Jacqueline B Esch | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2006-08-11 |
| 1699784066 | Tracy R Harrison | Clinical Nurse Specialist | 2915 Grant Street, Omaha, NE 68111 | 2006-08-05 |
| 1396365458 | Shaun M Metoyer | Contractor | 6344 N 36th St, Omaha, NE 68111-1110 | 2020-04-19 |
| Find all providers in zip 68111 | ||||
| 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 |
|---|---|---|---|---|
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1215488788 | Cancer Specialty Pharmacy LLC | Pharmacy | 17545 Gold Plz, Omaha, NE 68130-5602 | 2016-10-20 |
| 1437504669 | Brooksiderx LLC | Pharmacy | 11020 Q St, Omaha, NE 68137-3742 | 2016-04-25 |
| 1659633907 | Pharmacy Express Services Inc | Pharmacy | 349 N 78th St, Omaha, NE 68114-3640 | 2012-06-12 |
| 1104969872 | No Frills Pharmacy LLC | Pharmacy | 7646 Dodge St, Omaha, NE 68114-3635 | 2007-02-14 |
| 1295878965 | No Frills Pharmacy LLC | Pharmacy | 2011 N 156th St, Omaha, NE 68116-6465 | 2007-02-14 |
| 1518017656 | Kohlls Pharmacy & Homecare Inc | Pharmacy | 12739 Q Street, Omaha, NE 68137-3211 | 2007-01-11 |
| 1710037841 | Kohlls Pharmacy & Homecare Inc | Pharmacy | 620 N 114th St, Omaha, NE 68154-1571 | 2007-01-11 |
| 1851448898 | Bp Inc | Pharmacy | 15615 Pacific St Ste 8, Omaha, NE 68118-2118 | 2007-01-04 |
| 1699872416 | Occuvax LLC | Pharmacy | 13423 Lynam Dr, Omaha, NE 68138-4446 | 2006-09-20 |
| Find all providers in OMAHA | ||||
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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.