WALGREEN CO (NPI# 1124544887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | NCPDP | 5823922 | 01 |
NY | 05054797 | 05 |
Other Name | Type Code |
---|---|
RITE AID #1707 | Doing Business As Name - Organization |
Walgreens #19615 | 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 |
4707 BROADWAY |
City | ASTORIA |
State | NY |
Zip Code | 11103-1629 |
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 |
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 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 |
---|---|---|---|---|
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 |
Please comment or provide details below to improve the information on WALGREEN CO.
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.