WALGREEN CO. (NPI# 1093949455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093949455 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO. |
| Other Organization Name | WALGREENS #10794 |
| Practice Address |
12955 Collier Blvd Naples FL 34116-4001 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2396873340 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2018-06-15 |
| 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 | PH24142 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001167200 | 05 | |
| FL | FL MEDICAID DME | 001167201 | 01 |
| NCPDP | 1045435 | 01 |
| Other Name | Type Code |
|---|---|
| Walgreens #10794 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457733222 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 418 Us Highway 22 W, Whitehouse Station, NJ 08889 | 2015-06-29 |
| 1215334651 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1 Eddie Dowling Hwy, North Smithfield, RI 02896-7305 | 2014-12-01 |
| 1093112708 | Walgreen Co. | Pharmacy | 500 Route 530, Whiting, NJ 08759 | 2014-11-24 |
| 1164821070 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 339 Matawan Rd, Matawan, NJ 07747-3901 | 2014-08-15 |
| 1306198973 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 447 Belmont Ave, Haledon, NJ 07508-1368 | 2012-10-08 |
| 1437423670 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 901 S Rancho Dr Ste 20, Las Vegas, NV 89106 | 2012-03-06 |
| 1396018883 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 115 N Euclid Ave Ste A, Saint Louis, MO 63108-1503 | 2012-02-15 |
| 1013280403 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 | 2012-02-15 |
| 1588936850 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 4101 Greenbriar Dr Ste 235, Houston, TX 77098 | 2012-02-02 |
| 1467724716 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 8490 Santa Monica Blvd Ste 1, West Hollywood, CA 90069-4261 | 2012-02-02 |
| 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 |
12955 COLLIER BLVD |
| City | NAPLES |
| State | FL |
| Zip Code | 34116-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205372851 | Aaron Anthony Goodwin | Pharmacist | 12955 Collier Blvd, Naples, FL 34116-4001 | 2017-01-06 |
| 1164967303 | Sagine Rose Delva | Pharmacist | 12955 Collier Blvd, Naples, FL 34116-4001 | 2016-12-26 |
| 1821421496 | Gina Pham | Pharmacist | 12955 Collier Blvd, Naples, FL 34116-4001 | 2013-08-18 |
| 1255600151 | Ryan Joseph Lambertson | Pharmacy Technician | 12955 Collier Blvd, Naples, FL 34116-4001 | 2011-12-21 |
| 1932478245 | Brian Paul Blaine | Pharmacist | 12955 Collier Blvd, Naples, FL 34116-4001 | 2011-12-16 |
| 1740559970 | Heath A Yates | Pharmacist | 12955 Collier Blvd, Naples, FL 34116-4001 | 2011-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058455 | Angela Maria Eastman | Pharmacist | 4849 Golden Gate Parkway, Naples, FL 34116 | 2020-09-23 |
| 1841828167 | Annie Sanabria | Specialist/Technologist | 2117 Sunshine Blvd Apt A, Naples, FL 34116 | 2020-03-31 |
| 1487142519 | Yandra Teresa Alvarez I | Nursing Care | 4696 Golden Gate Pkwy., Apt:a, Naples, FL 34116 | 2018-04-24 |
| 1861933251 | Vivian Reyes Carmenate | Behavior Technician | 4425 19th Pl Sw, Naples, FL 34116 | 2017-03-17 |
| 1992108419 | Nery Cardenas | Social Worker | 11725 Collier Blvd Suite A-2, Naples, FL 34116 | 2014-09-29 |
| 1437459559 | Gifford Chiropractic & Neurodiagnostic Center, Pa | Chiropractor | 4930 Golden Gate Pkwy., Naples, FL 34116 | 2010-10-22 |
| 1194047704 | Jose Francisco Baldoquin | Pharmacist | Kmart 4955 Golden Gate Parkway, Naples, FL 34116 | 2010-02-23 |
| 1851627798 | Victor Antonio Delgado | Massage Therapist | 5321 27th Ave Sw, Naples, FL 34116 | 2009-10-28 |
| 1225362692 | Santa Barbara Pain and Injury Rehab LLC | Chiropractor | 2006 Santa Babara Blvd, Naples, FL 34116 | 2009-10-01 |
| 1336397462 | Julio Cesar Dejardens | General Practice | 5580 19th Ct. Sw Unit 2, Naples, FL 34116 | 2008-09-03 |
| Find all providers in zip 34116 | ||||
| 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 |
|---|---|---|---|---|
| 1568944056 | Rx Care 10 LLC | Pharmacy | 3975 Tamiami Trail E, Naples, FL 34112 | 2018-08-31 |
| 1487028502 | Natura Pharmacy Inc | Pharmacy | 3825 Beck Blvd #701, Naples, FL 34114 | 2015-12-01 |
| 1801274923 | Naples Pharmacy Services | Pharmacy | 5600 Trail Blvd Suit 10, Naples, FL 34103 | 2015-05-08 |
| 1841534534 | Publix Super Markets Inc | Pharmacy | 1981 Tamiami Trl N, Naples, FL 34102-4804 | 2012-11-19 |
| 1427307461 | Innovativerx Gulf Coast Pharmacy Inc | Pharmacy | 1035 Collier Center Way Ste 2, Naples, FL 34110-8474 | 2012-09-06 |
| 1699888404 | Apothecary Inc | Pharmacy | 833 4th Ave N, Naples, FL 34102 | 2006-08-16 |
| 1548291677 | K Mart Corp | Pharmacy | 12713 Tamiami Trl E, Naples, FL 34113-8424 | 2006-07-06 |
| 1235179615 | Publix Super Markets Inc | Pharmacy | 4601 9th St N, Naples, FL 34103-3004 | 2006-06-07 |
| 1962441733 | Publix Super Markets Inc | Pharmacy | 2450 Vanderbilt Beach Rd, Naples, FL 34109-0620 | 2006-06-06 |
| 1710926720 | Publix Super Markets Inc | Pharmacy | 4860 Davis Blvd, Naples, FL 34104-5337 | 2006-06-05 |
| Find all providers in NAPLES | ||||
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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.