WALGREEN CO.


Address: 1509 S Neil St, Champaign, IL 61820-6531
Phone: 2173511516

WALGREEN CO. (NPI# 1134139090) 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) 1134139090
Entity Type Organization
Organization Name WALGREEN CO.
Other Organization Name WALGREENS #09921
Practice Address 1509 S Neil St
Champaign
IL 61820-6531
Mailing Address 1901 E Voorhees St
Mailstop 790
Danville
IL 61834-4509
Practice Telephone 2173511516
Mailing Telephone 2177092386
Mailing Fax Number 2177092344
Enumeration Date 2006-08-09
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

Taxonomy

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 054.019041 IL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP 1479802 01

Other Provider/Organization Names

Other Name Type Code
WALGREENS #09921 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1457733222 Walgreen Co. Durable Medical Equipment & Medical Supplies 418 Us Highway 22 W, Whitehouse Station, NJ 08889 2015-06-29
1215334651 Walgreen Co. Durable Medical Equipment & Medical Supplies 1 Eddie Dowling Hwy, North Smithfield, RI 02896-7305 2014-12-01
1093112708 Walgreen Co. Pharmacy 500 Route 530, Whiting, NJ 08759 2014-11-24
1164821070 Walgreen Co. Durable Medical Equipment & Medical Supplies 339 Matawan Rd, Matawan, NJ 07747-3901 2014-08-15
1306198973 Walgreen Co. Durable Medical Equipment & Medical Supplies 447 Belmont Ave, Haledon, NJ 07508-1368 2012-10-08
1437423670 Walgreen Co. Durable Medical Equipment & Medical Supplies 901 S Rancho Dr Ste 20, Las Vegas, NV 89106 2012-03-06
1396018883 Walgreen Co. Durable Medical Equipment & Medical Supplies 115 N Euclid Ave Ste A, Saint Louis, MO 63108-1503 2012-02-15
1013280403 Walgreen Co. Durable Medical Equipment & Medical Supplies 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 2012-02-15
1588936850 Walgreen Co. Durable Medical Equipment & Medical Supplies 4101 Greenbriar Dr Ste 235, Houston, TX 77098 2012-02-02
1467724716 Walgreen Co. Durable Medical Equipment & Medical Supplies 8490 Santa Monica Blvd Ste 1, West Hollywood, CA 90069-4261 2012-02-02

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 1509 S NEIL ST
City CHAMPAIGN
State IL
Zip Code 61820-6531

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104264852 Kevin Tonn Pharmacist 1509 S Neil St, Champaign, IL 61820-6531 2013-06-04
1609145861 Mahitha Vasireddy Pharmacist 1509 S Neil St, Champaign, IL 61820-6531 2011-12-16
1366726200 Bradley Seiler Pharmacist 1509 S Neil St, Champaign, IL 61820-6531 2011-10-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982217345 Costco Wholesale Corporation Pharmacy 2002 N. Neil St., Champaign, IL 61820 2020-08-26
1255963583 Jamey Richard Bailey Social Worker 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 2020-02-05
1790247443 Jason Abrams Counselor 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 2019-04-02
1184100273 Janine Rafferty Pharmacist 2002 N Neil St, Champaign, IL 61820 2018-07-12
1417475070 Brodbeck Counseling, PC Community/Behavioral Health 301 N. Neil Street Suite 323, Champaign, IL 61820 2017-09-05
1447773726 Quanata M Pelmore Nurse's Aide 508 E. Vine St, Champaign, IL 61820 2017-07-19
1821518127 Molly Mclay Social Worker 309 W Clark St., Champaign, IL 61820 2017-06-27
1396265849 Lou Echols Chambers Audiologist 901 South Sixth Street, Chamapign, IL 61820 2017-06-26
1962874495 Luciana Angelica Guardini Social Worker 100 North Chestnut Street, Suite 244, Champaign, IL 61820 2015-10-23
1538544465 Cpo Services, Inc. Prosthetic/Orthotic Supplier 410 E University Ave Ste 105, Champaign, IL 61820 2015-07-21
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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
1104103290 Coram Alternate Site Services, Inc. Pharmacy 2022 Glen Park Dr, Champaign, IL 61821-2405 2011-11-03
1871648600 Carle Foundation Hospital Pharmacy 1701 West Curtis Rd, Champaign, IL 61822-9678 2007-01-24
1467556415 Lehman's Pharmacy LLC Pharmacy 716 S Randolph St Ste A, Champaign, IL 61820-8315 2006-09-12
1346674280 Independence Holding Co LLC Pharmacy 14 E Washington St Ste C, Champaign, IL 61820-3677 2013-08-28
1578618914 Carle Foundation Hospital Pharmacy 1757 W Kirby Ave, Champaign, IL 61821-5500 2007-01-24
1487749560 Christie Pharmacy Champaign LLC Pharmacy 101 W University Ave, Champaign, IL 61820-3909 2006-10-04
1669499950 Sams West Inc Pharmacy 915 W Marketview Dr, Champaign, IL 61822-1221 2006-07-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730702549 Aster Pharmacy LLC Pharmacy 9213 Waukegan Rd, Morton Grove, IL 60053-2102 2020-05-27
1568083301 Pointcore, Inc. Pharmacy 1800 N Knoxville Ave Ste G, Peoria, IL 61603-3028 2020-05-04
1336768001 Mhg Pharmacy Services, LLC Pharmacy 2923 N California Ave Ste 240, Chicago, IL 60618-7702 2020-04-13
1184258824 Metropolitian Austin Outpatient Pharmacy LLC Pharmacy 645 S Central Ave Ste 1, Chicago, IL 60644-5059 2020-03-02
1598398455 Washington University Physicians In Illinois - Cancer Center Pharmacy Pharmacy 1418 Cross Street, Suite 180, Shiloh, IL 62269 2020-02-19
1568093615 Carefirst Pharmacy, Inc. Pharmacy 2253 N Cicero Ave, Chicago, IL 60639-3327 2020-01-28
1720624521 Affinity Pharmacy Care LLC Pharmacy 285 W Loop Rd Ste 1, Wheaton, IL 60189-2036 2019-11-27
1104462126 Loyola University Medical Center Pharmacy 2160 S 1st Ave Rm 150-1610, Maywood, IL 60153-3328 2019-11-25
1346886512 Value Plus Pharmacy LLC Pharmacy 457 W Liberty St, Wauconda, IL 60084-2452 2019-11-22
1841833100 April M Bailey Pharmacy 1019 Oakcrest Dr, Rantoul, IL 61866-1118 2019-10-18
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Competitor

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City CHAMPAIGN
Zip Code 61820

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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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