WALGREEN CO (NPI# 1114440070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114440070 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | RITE AID |
| Practice Address |
5560 Myrtle Ave Ridgewood NY 11385-3554 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7184568555 |
| Practice Fax Number | 7183866056 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-09-21 |
| Authorized Official Name | ALAN NIELSEN (ASST 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 | Suppliers |
| Other Name | Type Code |
|---|---|
| RITE AID | Doing Business As Name - Organization |
| Rite Aid #17703 | 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 |
5560 MYRTLE AVE |
| City | RIDGEWOOD |
| State | NY |
| Zip Code | 11385-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750566147 | Mark Wolf | Pharmacist | 5560 Myrtle Ave, Ridgewood, NY 11385-3554 | 2008-01-03 |
| 1326452996 | Christina H Rezk | Pharmacist | 5560 Myrtle Ave, Ridgewood, NY 11385-3554 | 2014-06-11 |
| 1851642813 | David Hyun Lee | Pharmacist | 5560 Myrtle Ave, Ridgewood, NY 11385-3554 | 2012-09-30 |
| 1396050126 | Jenny Chen | Pharmacist | 5560 Myrtle Ave, Ridgewood, NY 11385-3554 | 2010-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| 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 |
|---|---|---|---|---|
| 1093347056 | Tablet Pharmacy Corp | Pharmacy | 6413 Fresh Pond Rd, Ridgewood, NY 11385-3330 | 2020-02-07 |
| 1538713524 | Legacy Specialty Pharmacy Corp | Pharmacy | 6851 Fresh Pond Rd # 3sto, Ridgewood, NY 11385-5296 | 2019-07-28 |
| 1750942280 | Wfs Drug Corp. | Pharmacy | 6825 Forest Ave Fl 1, Ridgewood, NY 11385-4451 | 2019-06-25 |
| 1306206164 | Natures Way Pharmacy Inc | Pharmacy | 6027 Myrtle Ave, Ridgewood, NY 11385-5933 | 2016-03-07 |
| 1033574041 | Ridgewood Pharmacy Express Inc | Pharmacy | 5456a Myrtle Ave, Ridgewood, NY 11385-3453 | 2015-12-17 |
| 1558752840 | Sherman Pharmacy 2 Inc. | Pharmacy | 5810 Myrtle Avenue, Ridgewood, NY 11385-5021 | 2015-02-09 |
| 1689951717 | Metrohealth Pharmacy LLC | Pharmacy | 5543 Myrtle Ave, Ridgewood, NY 11385-3503 | 2011-11-03 |
| 1437394822 | Ridgewood City Pharmacy,inc. | Pharmacy | 775 Seneca Ave, Ridgewood, NY 11385-4127 | 2008-12-13 |
| 1457499634 | Joseph Reina Pharmacy Inc | Pharmacy | 65 15 Fresh Pond Rd, Ridgewood, NY 11385 | 2007-02-01 |
| 1356493456 | Mediciti Drugs Inc | Pharmacy | 389 Onderdonk Ave, Ridgewood, NY 11385-1336 | 2007-01-17 |
| Find all providers in RIDGEWOOD | ||||
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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.