WALGREEN CO. (NPI# 1134292055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134292055 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO. |
| Other Organization Name | WALGREENS #09031 |
| Practice Address |
3851 4th St N St Petersburg FL 33703-6114 |
| Mailing Address |
1901 E Voorhees St Ms #790 Danville IL 61834-4509 |
| Practice Telephone | 7278226896 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2018-05-08 |
| 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 | PH22345 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 1022538 | 01 | |
| FL | 031765901 DME | 05 | |
| FL | 031765900 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #09031 | Doing Business As Name - Organization |
| 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 |
| 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 |
3851 4TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703-6114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821457342 | Amber Beth Herschberger | Nurse Practitioner | 3851 4th St N, St Petersburg, FL 33703-6114 | 2016-02-11 |
| 1063842953 | Michelle Beeloo | Pharmacist | 3851 4th St N, St Petersburg, FL 33703 | 2013-11-14 |
| 1255603692 | Jessica S. Mathews | Nurse Practitioner | 3851 4th St N, St Petersburg, FL 33703-6114 | 2012-02-01 |
| 1336418052 | Diana Kweiling Young | Pharmacist | 3851 4th St N, St Petersburg, FL 33703-6114 | 2011-12-27 |
| 1144599846 | Kelly Helsel | Pharmacist | 3851 4th St N, St Petersburg, FL 33703-6114 | 2011-12-26 |
| 1720357924 | Danielle Donohue | Pharmacist | 3851 4th St N, St Petersburg, FL 33703-6114 | 2011-12-19 |
| 1811226913 | Joseph Michael Fisher Jr. | Pharmacist | 3851 4th St N, St Petersburg, FL 33703-6114 | 2009-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| 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 |
|---|---|---|---|---|
| 1437438082 | Publix Super Markets Inc | Pharmacy | 1700 34th St N, St Petersburg, FL 33713-3602 | 2011-08-15 |
| 1306134952 | Urban Specialty Pharmacy LLC | Pharmacy | 1617 34th St S Ste A, St Petersburg, FL 33711-2855 | 2011-07-18 |
| 1558657718 | Amicitia Pharma LLC | Pharmacy | 4105 49th St N Ste B, St Petersburg, FL 33709-5711 | 2011-06-24 |
| 1154624856 | Apothecary Pharmacy LLC | Pharmacy | 4749 34th St S, St Petersburg, FL 33711-4507 | 2010-12-19 |
| 1518109685 | Umbra Inc | Pharmacy | 5415 4th St N, St Petersburg, FL 33703-2249 | 2009-04-03 |
| 1205975257 | Curant Health Florida LLC | Pharmacy | 11001 Roosevelt Blvd N Ste 1400, St Petersburg, FL 33716-2338 | 2007-02-06 |
| 1972663102 | Optumcare Florida LLC | Pharmacy | 7601 9th St N, Ste C 1, St Petersburg, FL 33702-5211 | 2006-12-11 |
| 1457382574 | K Mart Corp | Pharmacy | 2900 34th St N, St Petersburg, FL 33713-3623 | 2006-07-06 |
| 1487685590 | K Mart Corp | Pharmacy | 3951 34th St S, St Petersburg, FL 33711-4360 | 2006-07-06 |
| 1659318087 | Albertsons LLC | Pharmacy | 3900 66th St N, St Petersburg, FL 33709-4912 | 2006-06-02 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33703 |
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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.