WALGREEN CO


Address: 4707 Broadway, Astoria, NY 11103-1629
Phone: 7187260801

WALGREEN CO (NPI# 1124544887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124544887
Entity Type Organization
Organization Name WALGREEN CO
Other Organization Name WALGREENS #19615
Practice Address 4707 Broadway
Astoria
NY 11103-1629
Mailing Address 1901 E Voorhees St # Ms 790
Danville
IL 61834-4509
Practice Telephone 7187260801
Practice Fax Number 7187267148
Mailing Telephone 2177092386
Mailing Fax Number 2177092344
Enumeration Date 2017-08-15
Last Update Date 2019-10-25
Authorized Official Name ALYSSA SWEETEN (MANAGER)
Authorized Official Telephone 2177092386
Is Organization Subpart Y
Parent Organization Name WALGREENS BOOTS ALLIANCE INC

Taxonomy

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 036309 NY Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NY NCPDP 5823922 01
NY 05054797 05

Other Provider/Organization Names

Other Name Type Code
RITE AID #1707 Doing Business As Name - Organization
Walgreens #19615 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 4707 BROADWAY
City ASTORIA
State NY
Zip Code 11103-1629

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154877314 Cyril Manuel C Collantes Pharmacist 4707 Broadway, Astoria, NY 11103-1629 2016-08-28
1346636487 Nadeem T Abdin Pharmacist 4707 Broadway, Astoria, NY 11103-1629 2015-04-15
1437567997 Raymond Wu Pharmacist 4707 Broadway, Astoria, NY 11103-1629 2014-07-29
1104198787 Joanna Tsitsipatis Pharmacist 4707 Broadway, Astoria, NY 11103-1629 2012-01-30
1821311473 Olga Yakubov Pharmacist 4707 Broadway, Astoria, NY 11103-1629 2010-03-10
1942483623 Yoonsun Chang Pharmacist 4707 Broadway, Astoria, NY 11103-1629 2007-12-17
1104009356 Wing Yee Lai Pharmacist 4707 Broadway, Astoria, NY 11103-1629 2007-12-11
1588775639 Rite Aid Drug Palace Inc Durable Medical Equipment & Medical Supplies 4707 Broadway, Astoria, NY 11103-1629 2006-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285248641 Heather B Keltai Counselor 2585 48th St, Astoria, NY 11103 2020-09-03
1174132641 Mohammed E Yousef Physical Therapy Assistant 37 09 Broadway,astoria., Apt 3a, New York, NY 11103 2020-07-30
1588177448 Jasna Koltovska Counselor 3063 38th St Ste B1, Astoria, NY 11103 2017-11-14
1205363884 Emanuel Papadopoulos Dentist 3044 36th St, Astoria, NY 11103 2017-05-15
1174986236 Joyce Lynn Karpinski Occupational Therapist 25-95 45th St, Apt I, Astoria, NY 11103 2016-04-05
1306218847 Leeat Perelmutter Social Worker 2847 34 Street, Apt 17, Astoria, NY 11103 2015-10-23
1740658723 Cori Shahon Specialist 2569 49th Street, Astoria, NY 11103 2015-09-09
1245617539 Alisa Neziraj Registered Nurse 3005 42nd Street, Astoria, NY 11103 2015-05-06
1912399189 Brad Koegel Case Manager/Care Coordinator 30-46 35th Street, Astoria, NY 11103 2015-02-25
1477967826 Wad Kadi Pharmacist 32-87 Steinway St, Long Island City, NY 11103 2014-06-13
Find all providers in zip 11103

Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649736083 Your Wellness Rx Inc. Pharmacy 2107 21st Ave, Astoria, NY 11105-3247 2019-02-11
1669837316 Crescent Pharmacy Inc Pharmacy 2914 Crescent St, Astoria, NY 11102-3140 2015-12-23
1922429273 Dz Tov Drugs LLC Pharmacy 2815 Steinway St, Astoria, NY 11103-3331 2014-01-03
1457782013 Pyak Family LLC Pharmacy 4410 31st Ave, Astoria, NY 11103-2251 2013-12-09
1891045126 Pharmachoice Pharmacy Inc Pharmacy 2578 Steinway St, Astoria, NY 11103-3774 2012-09-13
1770858680 Triboro Pharmacy Pharmacy 3720 Ditmars Blvd, Astoria, NY 11105-1841 2012-03-12
1225311020 Hyatt Pharmacy Pharmacy 2321 30th Ave, Astoria, NY 11102-4183 2011-09-28
1801178702 Avenue Chemists Inc Pharmacy 4501 30th Ave, Astoria, NY 11103-1261 2011-09-15
1689901241 Gsr Pharmacy Inc Pharmacy 803 Astoria Blvd, Astoria, NY 11102-4028 2009-11-03
1881928224 Broadway Drugs Inc Pharmacy 3408 Broadway, Astoria, NY 11106-1112 2009-10-01
Find all providers in ASTORIA

Competitor

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City ASTORIA
Zip Code 11103

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Dataset Information

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.

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