WALGREEN CO (NPI# 1134451818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134451818 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #13012 |
| Practice Address |
6400 Hoadly Rd Manassas VA 20112-3436 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7032596390 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2016-08-17 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 0201004344 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1134451818 | 05 | |
| VA | NCPDP | 4842010 | 01 |
| Other Name | Type Code |
|---|---|
| Walgreens #13012 | 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 |
6400 HOADLY RD |
| City | MANASSAS |
| State | VA |
| Zip Code | 20112-3436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144504853 | Hend M Abu-joudeh | Pharmacist | 6400 Hoadly Rd, Manassas, VA 20112-3436 | 2011-09-30 |
| 1992087944 | Mylinh Nguyen | Pharmacist | 6400 Hoadly Rd, Manassas, VA 20112-3436 | 2011-09-15 |
| 1225318942 | Tiffany Grimm | Pharmacist | 6400 Hoadly Rd, Manassas, VA 20112-3436 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609361849 | Rasha Jamal Hussein | Dentist | 12701 Galveston Ct, Manassas, VA 20112 | 2018-06-29 |
| 1023510500 | Brooke Newman | Speech-Language Pathologist | 14715 Bristow Road, Manassas, VA 20112 | 2018-03-01 |
| 1174837165 | Carol M Cantello | Occupational Therapist | 12676 Cobblestone Ct, Manassas, VA 20112 | 2010-08-02 |
| 1245429935 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6360 Hoadly Rd, Manassas, VA 20112 | 2007-10-18 |
| 1780765982 | Cheryl Lynn Toulouse | Nurse Practitioner | Endocrine and Diabetes Center, 2200 Opitz Blvd, Suite 250, Woodbridge, VA 20112 | 2006-10-17 |
| 1295224889 | Priscilla Amfo | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112 | 2018-05-09 |
| 1548627797 | Dawnita Truitt-calderone | Speech-Language Pathologist | 14715 Bristow Rd, Manassas, VA 20112 | 2016-01-19 |
| 1275998486 | Courtney Harless | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112 | 2015-12-15 |
| 1205106069 | Andre Delray Route | Home Health Aide | 7600 Georgia Ave, Premier Health Services, Suite 323, Washington, DC 20112 | 2012-01-10 |
| 1548369390 | Mark A Bodwalk | Counselor | 6922 Newman Rd, Clifton, VA 20112-1613 | 2006-09-21 |
| Find all providers in zip 20112 | ||||
| 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 |
|---|---|---|---|---|
| 1518455997 | Medplus Pharmacy 2 LLC | Pharmacy | 8609 Sudley Rd Ste 103b, Manassas, VA 20110-4500 | 2018-05-01 |
| 1831122175 | Giant of Maryland LLC | Pharmacy | 8025 Sudley Rd, Manassas, VA 20109-8001 | 2006-07-09 |
| 1104859446 | Giant of Maryland LLC | Pharmacy | 8819 Centreville Rd, Manassas, VA 20110-5203 | 2006-07-09 |
| 1174946362 | Express Pharmacy | Pharmacy | 9705 Liberia Ave Ste 201, Manassas, VA 20110-1744 | 2014-01-24 |
| 1801035548 | Prosperity Prince William Rx Inc | Pharmacy | 8644 Sudley Rd, Suite 120, Manassas, VA 20110-4417 | 2009-02-19 |
| 1104857226 | K Mart Corp | Pharmacy | 7807 Sudley Rd, Manassas, VA 20109-2805 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998920 | Schiffert Health Center | Pharmacy | 895 Washington Street Sw Virginia Tech Mccomas Hall, Blacksburg, VA 24061-0140 | 2020-07-02 |
| 1912521675 | Duke Pharmacy LLC | Pharmacy | 5130 Duke St Ste 7b, Alexandria, VA 22304-2955 | 2020-05-28 |
| 1942847900 | Medspack Ltc Inc | Pharmacy | 14121 Parke Long Ct Ste 112, Chantilly, VA 20151-1647 | 2019-12-09 |
| 1275175804 | Duyen K Nguyen | Pharmacy | 4497 Morning Wind Ct, Annandale, VA 22003-5902 | 2019-10-15 |
| 1447892450 | Seaside Pharmacy LLC | Pharmacy | 1630 Donna Dr Ste 103, Virginia Beach, VA 23451-6188 | 2019-10-10 |
| 1083255426 | E's-y Rider Cab & Transport Co LLC | Pharmacy | 562 W 29th St, Buena Vista, VA 24416-1506 | 2019-10-07 |
| 1346891918 | Martin's Pharmacy of Rural Retreat Inc | Pharmacy | 100 W Buck Ave, Rural Retreat, VA 24368-2515 | 2019-09-25 |
| 1417418005 | Village Economy Drug Inc | Pharmacy | 443 Duff Patt Hwy Ste 104, Duffield, VA 24244-5191 | 2019-03-27 |
| 1538642434 | Avs Pharmacy LLC | Pharmacy | 161 Fort Evans Rd Ne Ste 115, Leesburg, VA 20176-3370 | 2018-09-07 |
| 1316427347 | Plaza Economy Drug Inc | Pharmacy | 1123 Plaza Dr, Grundy, VA 24614-6780 | 2018-08-20 |
| Find all providers with the same taxonomy | ||||
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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.