WALGREEN CO (NPI# 1134555717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134555717 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #16129 |
| Practice Address |
407 W Main St Jamestown NC 27282-9558 |
| Mailing Address |
1901 E Voorhees St M/s 790 Danville IL 61834-4509 |
| Practice Telephone | 3364543101 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2016-10-17 |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NCPDP | 3462304 | 01 |
| NC | 1134555717 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #16129 | 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 |
407 W MAIN ST |
| City | JAMESTOWN |
| State | NC |
| Zip Code | 27282-9558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679017149 | Michael Maize | Pharmacist | 407 W Main St, Jamestown, NC 27282-9558 | 2016-12-18 |
| 1518351196 | Hala Albaiti | Pharmacist | 407 W Main St, Jamestown, NC 27282-9558 | 2015-03-23 |
| 1962805333 | Erin Marie Laskowski | Pharmacist | 407 W Main St, Jamestown, NC 27282-9558 | 2014-09-30 |
| 1073860615 | Hannah Bullock | Pharmacist | 407 W Main St, Jamestown, NC 27282-9558 | 2012-08-14 |
| 1427344399 | Jennifer Ashley Corder | Pharmacist | 407 W Main St, Jamestown, NC 27282-9558 | 2011-06-20 |
| 1295845980 | Kerr Drug Inc | Pharmacy | 407 W Main St, Jamestown, NC 27282-9558 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619301231 | Donna Jean Drosinis | Physician Assistant | 604 W. Main Street, Jamestown, NC 27282 | 2013-08-30 |
| 1548694268 | The Guilford County Resource and Referral Center | Community/Behavioral Health | 725-b W. Main Street, Jamestown, NC 27282 | 2013-08-29 |
| 1912269036 | Jacob Ilardi | Licensed Practical Nurse | 310 Nutwood Circle, Jameston, NC 27282 | 2012-06-14 |
| 1295985471 | Paris S Ford | Occupational Therapist | 200 Haynes Rd, Jamestown, NC 27282 | 2008-09-24 |
| 1972787083 | Charles L Brandenburg IIi Dds | Dentist | 5011d Mackay Rd, Jamestown, NC 27282 | 2007-12-26 |
| 1013034156 | Cecelia A Tolliver | Specialist/Technologist | 602 High Point Rd., Jamestown, NC 27282 | 2007-03-23 |
| 1174619746 | Ronald Ray Beshears | Dentist | 720 West Main Street, Suite B, Jamestown, NC 27282 | 2006-10-04 |
| 1982110342 | Novant Medical Group. Inc. | Family Medicine | 1236 Guilford College Rd Ste 117, Jamestown, NC 27282 | 2017-12-21 |
| 1275992943 | Amanda Brooks Adamski | Nurse Practitioner | 1236 Guilford College Rd Ste 117, Jamestown, NC 27282 | 2016-02-23 |
| 1548573207 | Regional Physicians LLC | Family Medicine | 604 W Main St, Jamestown, NC 27282 | 2010-07-22 |
| Find all providers in zip 27282 | ||||
| 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 |
|---|---|---|---|---|
| 1295875730 | Southern Tier Home Infusion Inc | Pharmacy | 863 Fairmount Ave, Jamestown, NY 14701-2521 | 2007-02-07 |
| 1497844005 | White Drug Co of Jamestown Inc | Pharmacy | 320 10th St Se, Jamestown, ND 58401-5555 | 2006-10-12 |
| 1306938519 | Baker's Pharmacy of Jamestown, Inc | Pharmacy | 53 Narragansett Ave, Jamestown, RI 02835-1100 | 2006-09-28 |
| 1417052275 | Burden Drug Center Inc | Pharmacy | 418 A W Central Ave, Jamestown, TN 38556 | 2006-09-14 |
| 1528099660 | K Mart Corp | Pharmacy | 975 Fairmount Ave # We, Jamestown, NY 14701-2452 | 2006-07-06 |
| 1043260722 | North Dakota State Hospital | Pharmacy | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2006-05-11 |
| 1245209956 | Southside Pharmacy Inc | Pharmacy | 766 Foote Ave, Jamestown, NY 14701-8201 | 2006-03-15 |
| 1447229117 | Wegmans Food Markets, Inc. | Pharmacy | 945 Fairmount Ave, Attn: Pharmacy Manager, Jamestown, NY 14701-2454 | 2006-03-15 |
| 1134110463 | Jmf Inc. | Pharmacy | 703 1st Ave S, Jamestown, ND 58401-5549 | 2005-11-04 |
| 1750562096 | Tops Markets LLC | Pharmacy | 2000 Washington St, Jamestown, NY 14701-3068 | 2007-11-15 |
| Find all providers in JAMESTOWN | ||||
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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.