WALGREEN CO (NPI# 1124033246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124033246 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #9854 |
| Practice Address |
2015 State St New Albany IN 47150-4921 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8129450535 |
| Practice Fax Number | 8129458249 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-12-31 |
| 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 | 60003055A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1522641 | 01 | |
| KY | 1124033246 | 05 | |
| IN | 100307770A | 05 | |
| KY | 9000702200 DME | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #9854 | 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 |
2015 STATE ST |
| City | NEW ALBANY |
| State | IN |
| Zip Code | 47150-4921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629987 | Thi Phuong Khanh Duong | Pharmacist | 2015 State St, New Albany, IN 47150-4921 | 2020-08-13 |
| 1972114049 | Yolanda Gales | Pharmacist | 2015 State St, New Albany, IN 47150-4921 | 2020-08-12 |
| 1790187011 | Jaclyn Ann Robinson | Pharmacist | 2015 State St, New Albany, IN 47150-4921 | 2014-09-17 |
| 1558645598 | Elizabeth Ann Young | Pharmacist | 2015 State St, New Albany, IN 47150-4921 | 2011-10-10 |
| 1255615670 | Anne Elizabeth Kimmel | Pharmacist | 2015 State St, New Albany, IN 47150-4921 | 2011-10-04 |
| 1730462839 | Thomas Joseph Dykiel II | Pharmacist | 2015 State St, New Albany, IN 47150-4921 | 2011-09-25 |
| 1487937819 | Jeremy Gurtz | Pharmacist | 2015 State St, New Albany, IN 47150-4921 | 2011-09-22 |
| 1093098667 | Ross Kevin Tucker | Pharmacist | 2015 State St, New Albany, IN 47150-4921 | 2011-09-21 |
| 1437431160 | Jeremy P Garris | Pharmacist | 2015 State St, New Albany, IN 47150-4921 | 2011-09-20 |
| 1821370024 | Cynthia Kay Andres | Pharmacist | 2015 State St, New Albany, IN 47150-4921 | 2011-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385050 | Essential Pediatrics | Physical Therapist | 1614 Slate Run Road, New Albany, IN 47150 | 2020-01-10 |
| 1871075234 | Katie Lyn Vincent | Speech-Language Pathologist | 845 Park Place, New Albany, IN 47150 | 2018-09-02 |
| 1326528811 | Donna Casey Laduke | Respiratory Therapist, Registered | Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 | 2018-08-15 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1104315902 | Whitney Nicole Malloy | Physician Assistant | 2108 State Street, New Albany, IN 47150 | 2018-05-07 |
| 1942728472 | Cleanse Clinic Jeffersonville LLC | Psychiatry & Neurology | 2818 Grant Line Rd Ste 2, New Albany, IN 47150 | 2017-09-05 |
| 1881110765 | Kristy Marie Delaney | Social Worker | 1144 Creekview Circle, New Albany, IN 47150 | 2017-08-22 |
| 1891217030 | Sarah H. Wilson | Physician Assistant | 1919 State St Ste 362, New Albany, IN 47150 | 2017-07-10 |
| 1861939290 | Lauren Brenneman Pollock | Audiologist | 3211 Grant Line Rd St. #37, New Albany, IN 47150 | 2017-01-24 |
| 1861850414 | Kiley Madaleno | Speech-Language Pathologist | 4915 Charlestown Road, New Albany, IN 47150 | 2016-02-10 |
| Find all providers in zip 47150 | ||||
| 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 |
|---|---|---|---|---|
| 1568590024 | Medical Center Pharmacy | Pharmacy | 218 Oxford Rd, New Albany, MS 38652-3115 | 2007-02-28 |
| 1902821788 | Kroger Limited Partnership I | Pharmacy | 200 New Albany Plz, New Albany, IN 47150-4658 | 2006-07-13 |
| 1811912694 | Kroger Limited Partnership I | Pharmacy | 2864 Charlestown Rd, New Albany, IN 47150-1978 | 2006-07-13 |
| 1457397259 | Westmoreland Pharmacy, Inc. | Pharmacy | 1945 State St Ste 100, New Albany, IN 47150 | 2006-06-21 |
| 1073849626 | Ssd LLC | Pharmacy | 498 W Bankhead St, New Albany, MS 38652-3319 | 2009-11-02 |
| 1497901789 | Mathes Pharmacy Inc. | Pharmacy | 1621 Charlestown Rd, New Albany, IN 47150-3339 | 2008-08-18 |
| 1114959053 | Freds Stores of Tennessee Inc | Pharmacy | 126 Main St W, New Albany, MS 38652-3327 | 2006-07-07 |
| 1528099587 | K Mart Corp | Pharmacy | 3525 Grant Line Rd, New Albany, IN 47150-2147 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161909 | Damien Cares Inc. | Pharmacy | 26 N Arsenal Ave Ste B, Indianapolis, IN 46201-3808 | 2020-07-21 |
| 1518507755 | Genoa Healthcare, LLC | Pharmacy | 2007 State St Ste 110, Washington, IN 47501-8505 | 2020-01-15 |
| 1053951210 | Pharmacy Corporation of America | Pharmacy | 6032 Highview Dr Ste C, Fort Wayne, IN 46818-1390 | 2020-01-15 |
| 1629635479 | Medscript Compounding LLC | Pharmacy | 14450 Getz Rd Ste 200, Noblesville, IN 46060-3303 | 2019-05-28 |
| 1346807138 | Genoa Healthcare, LLC | Pharmacy | 3176 Lancer St Ste 102, Portage, IN 46368-4408 | 2019-05-28 |
| 1710444740 | Highcare Pharmacy Inc | Pharmacy | 9030 Cline Ave Ste B, Highland, IN 46322-2204 | 2019-02-26 |
| 1346711611 | Rx for Less Pharmacy | Pharmacy | 10930 Pendleton Pike Ste 102, Indianapolis, IN 46236-3177 | 2018-12-16 |
| 1982197463 | 360 Pharmacy Care LLC | Pharmacy | 2441 Production Dr Ste 101, Indianapolis, IN 46241-4929 | 2018-06-11 |
| 1649784174 | Kroger Limited Partnership I | Pharmacy | 5 Boone Vlg, Zionsville, IN 46077-1231 | 2017-11-20 |
| 1770095333 | Pharmscript of In LLC | Pharmacy | 6825 Hillsdale Ct, Building No 3, Indianapolis, IN 46250-2039 | 2017-11-03 |
| Find all providers with the same taxonomy | ||||
| City | NEW ALBANY |
| Zip Code | 47150 |
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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.