WALGREEN CO (NPI# 1114932373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114932373 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #03610 |
| Practice Address |
12881 Perkins Rd Baton Rouge LA 70810-1913 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2257636281 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-10-13 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 3786RC | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1265829 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1927663 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #03610 | 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 |
12881 PERKINS RD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336610039 | Han Ngoc Nguyen | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2018-12-07 |
| 1881113082 | Jennifer Johnson | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810 | 2017-09-19 |
| 1821545625 | Nhi Pham | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2016-09-09 |
| 1932553765 | Robert Bougard | Pharmacy Technician | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2016-04-18 |
| 1609272178 | Ravin M. Ellis | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2014-11-11 |
| 1194127654 | Michelle C Vaultz | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2014-09-16 |
| 1730516444 | Stefnee Watkins | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2013-09-26 |
| 1851600134 | Kyla D'shea Brown | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2010-10-04 |
| 1245546852 | John Randall Dye | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2010-08-20 |
| 1437464245 | Mike Thomas Malinowski | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2010-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| 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 |
|---|---|---|---|---|
| 1306470265 | Capitol City Family Health Center, Incorporated | Pharmacy | 3111 Florida Blvd Ste B, Baton Rouge, LA 70806-3774 | 2020-02-28 |
| 1932615820 | Parkers Pharmacy LLC | Pharmacy | 9600 Florida Blvd, Suite 5, Baton Rouge, LA 70815-1110 | 2017-12-14 |
| 1164968491 | P & C Healthcare LLC | Pharmacy | 3490 Drusilla Ln, Baton Rouge, LA 70809-1866 | 2017-01-10 |
| 1538619614 | Keystone Pharmacy Services LLC | Pharmacy | Broussard Athletic Training Ctr, North Stadium Drive, Baton Rouge, LA 70803-0001 | 2016-10-12 |
| 1629528526 | Keystone Pharmacy Services LLC | Pharmacy | Student Health Center Building, Infirmary Dr Room 172 Louisiana State University, Baton Rouge, LA 70803-0001 | 2016-10-04 |
| 1346642329 | Brown's Pharmacy LLC | Pharmacy | 3111 Florida Blvd, Suite B, Baton Rouge, LA 70806-3758 | 2014-09-22 |
| 1215365341 | O'donovan Pharmacy | Pharmacy | 5131 Odonovan Dr Ste 402, Baton Rouge, LA 70808-4792 | 2013-10-29 |
| 1063789253 | Affordable Pharmacy LLC | Pharmacy | 1718 N Foster Dr Ste B, Baton Rouge, LA 70806-1076 | 2011-11-16 |
| 1184901696 | K & B Pharmacy | Pharmacy | 7353 Highland Rd, Baton Rouge, LA 70808-6610 | 2011-11-11 |
| 1942583166 | Landry Colham LLC | Pharmacy | 243 N Acadian Thruway Ste 1, Baton Rouge, LA 70806-3772 | 2011-09-23 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
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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.