WALGREEN CO (NPI# 1164437125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164437125 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #03842 |
| Practice Address |
2389 E Windmill Ln Las Vegas NV 89123-2037 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7028379531 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-10-20 |
| 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 | PH1249 | NV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 2802137 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2906658 | 01 | |
| NV | DME | 3302137 | 01 |
| LA | 1287644 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #03842 | 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 |
2389 E WINDMILL LN |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89123-2037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079416 | Kimberly Gabayan | Pharmacist | 2389 E Windmill Ln, Las Vegas, NV 89123-2037 | 2020-09-24 |
| 1134732555 | Lynn Pham | Pharmacist | 2389 E Windmill Ln, Las Vegas, NV 89123-2037 | 2020-08-25 |
| 1689221012 | Jasmyn Rabbanian | Pharmacist | 2389 E Windmill Ln, Las Vegas, NV 89123-2037 | 2019-08-21 |
| 1164079448 | Melody Ann Lamsen | Pharmacist | 2389 E Windmill Ln, Las Vegas, NV 89123-2037 | 2019-08-21 |
| 1811369325 | Jennifer Saidfar | Pharmacist | 2389 E Windmill Ln, Las Vegas, NV 89123-2037 | 2015-10-22 |
| 1710359229 | Derek Ransom Quinn | Pharmacist | 2389 E Windmill Ln, Las Vegas, NV 89123-2037 | 2015-10-22 |
| 1154797488 | Dayu Kim | Pharmacist | 2389 E Windmill Ln, Las Vegas, NV 89123-2037 | 2015-08-21 |
| 1184090193 | Mark Christopher Traupmann | Pharmacist | 2389 E Windmill Ln, Las Vegas, NV 89123-2037 | 2015-08-12 |
| 1770831638 | Maree Kiledjian | Pharmacist | 2389 E Windmill Ln, Las Vegas, NV 89123-2037 | 2012-08-27 |
| 1942584644 | Elissa Williams | Pharmacist | 2389 E Windmill Ln, Las Vegas, NV 89123-2037 | 2011-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894096 | Jpn Holdings Corp | Home Health Aide | 8275 S Eastern Ave Ste 246, Las Vegas, NV 89123 | 2020-09-03 |
| 1104463488 | Rafaat Yousif Rafael | Technician | 8365 Montgomery St, Las Vegas, NV 89123 | 2019-12-05 |
| 1386287357 | Nadhc At Eastern, Inc | Respite Care | 8695 Eastern Ave., Las Vegas, NV 89123 | 2019-10-23 |
| 1619523677 | Nadhc At Eastern, Inc | Clinic/Center | 8695 S. Eastern Ave., Las Vegas, NV 89123 | 2019-08-15 |
| 1437714995 | Vladimir Jose Pedraza | Technician | 8330 Collado St, Las Vegas, NV 89123 | 2019-05-09 |
| 1174026017 | Jenni Das | Behavior Technician | 62 E Serene Ave Unit 129, Las Vegas, NV 89123 | 2018-03-16 |
| 1134621717 | Catherine Domingo Leanu | Technician | 9490 Bermuda Road, Apt 1121, Las Vegas, NV 89123 | 2018-02-28 |
| 1801397583 | Titus Aldea | Technician | 8419 Yamhill St, Las Vegas, NV 89123 | 2018-02-27 |
| 1699291997 | Angel's Touch Home Care LLC | In Home Supportive Care | 8382 Marcasel Dr, Las Vegas, NV 89123 | 2017-08-17 |
| 1427578152 | Adrianna Jones | Rehabilitation Practitioner | 1901 S. Jones Blvd., Las Vegas, NV 89123 | 2017-06-23 |
| Find all providers in zip 89123 | ||||
| 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 |
|---|---|---|---|---|
| 1467085381 | Cmh Pharmacy LLC | Pharmacy | 6445 W Sunset Rd Ste 168, Las Vegas, NV 89118-3321 | 2020-02-19 |
| 1033740691 | Evergreen Pharmacy Inc | Pharmacy | 4110 S Maryland Pkwy Ste 17, Las Vegas, NV 89119-7505 | 2020-01-31 |
| 1134765837 | Scriptdash Inc | Pharmacy | 600 Pilot Rd Ste A, Las Vegas, NV 89119-9011 | 2019-11-18 |
| 1124678453 | Kcklg LLC | Pharmacy | 6496 Medical Center St Ste 101, Las Vegas, NV 89148-2409 | 2019-09-18 |
| 1417504382 | Eglc LLC | Pharmacy | 6725 S Eastern Ave Ste 8, Las Vegas, NV 89119-3949 | 2019-08-24 |
| 1023671518 | Jay Mataji Inc | Pharmacy | 2202 W Charleston Blvd Ste 13, Las Vegas, NV 89102-2229 | 2019-04-19 |
| 1609439280 | Central Rx Services, LLC | Pharmacy | 1451 Center Crossing Rd, Las Vegas, NV 89144-7047 | 2019-04-18 |
| 1093202046 | Benzene Khemikals | Pharmacy | 3050 E Bonanza Rd Ste 160, Las Vegas, NV 89101-3707 | 2018-04-16 |
| 1164924197 | Aeva II LLC | Pharmacy | 4641 Blue Diamond Rd Ste 120b, Las Vegas, NV 89139-7610 | 2018-03-06 |
| 1205347234 | Sunrise Pharmacy LLC | Pharmacy | 2560 E Sunset Rd Ste 102, Las Vegas, NV 89120-3517 | 2017-10-17 |
| Find all providers in LAS VEGAS | ||||
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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.