WALGREEN CO (NPI# 1164437182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164437182 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #04204 |
| Practice Address |
401 Ne Barry Rd Kansas City MO 64155-2878 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8164365033 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-05-11 |
| 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 | 6560 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 624011102 DME | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2632277 | 01 | |
| KS | 100432200G | 05 | |
| KS | 100432540B DME | 05 | |
| MO | 604011106 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04204 | 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 |
401 NE BARRY RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64155-2878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285601443 | Take Care Health Missouri, PC | Nurse Practitioner | 401 Ne Barry Rd, Kansas City, MO 64155-2878 | 2006-03-07 |
| 1588277933 | Tyler Lavo | Pharmacist | 401 Ne Barry Rd, Kansas City, MO 64155-2878 | 2020-08-26 |
| 1417227190 | Cathy Sharp | Pharmacist | 401 Ne Barry Rd, Kansas City, MO 64155-2878 | 2012-01-11 |
| 1619254893 | Richard Joseph Coomes | Pharmacist | 401 Ne Barry Rd, Kansas City, MO 64155-2878 | 2011-11-15 |
| 1336422443 | Clay Pingel | Pharmacist | 401 Ne Barry Rd, Kansas City, MO 64155-2878 | 2011-09-25 |
| 1881831717 | Alice Graham | Nurse Practitioner | 401 Ne Barry Rd, Kansas City, MO 64155-2878 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104475383 | Margaret A Shetley | Technician | 9023 Nw Anglia Rd, Kansas City, MO 64155 | 2019-09-10 |
| 1477031540 | Abby Pearson | Massage Therapist | 190 Ne 90th Street, Suite 16, Kansas City, MO 64155 | 2018-08-01 |
| 1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
| 1013322262 | Ryan Bland | Dentist | 9241 North Oak Trafficway, Kansas City, MO 64155 | 2014-06-26 |
| 1134540289 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 10210 N. Oak Trafficway, Suite 100-300, Kansas City, MO 64155 | 2013-12-16 |
| 1366875718 | Staley Dental Arts, LLC | Dentist | 506 Ne 107th Street, Kansas City, MO 64155 | 2013-08-20 |
| 1902137433 | Gary D Cooper | Internal Medicine | 1501 Ne 98th St, Kansas City, MO 64155 | 2010-01-22 |
| 1780845305 | Heather Jean Malone | Pediatrics | 8781 N. Platte Purchase Drive, Kansas City, MO 64155 | 2008-06-17 |
| 1639390370 | John Michael Dicapo | Physical Therapist | 1110 Ne 85 Ct, Kansas City, MO 64155 | 2007-05-01 |
| 1467502021 | Laurie D Riddell | Pediatrics | 8781 N Platte Purchase Dr, Kansas City, MO 64155 | 2007-01-12 |
| Find all providers in zip 64155 | ||||
| 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 |
|---|---|---|---|---|
| 1538726880 | University of Kansas Hospital Authority | Pharmacy | 901 N 5th St, Kansas City, KS 66101-2907 | 2019-05-22 |
| 1184167876 | Cerner Health Connections Inc | Pharmacy | 8779 Hillcrest, Building 1024.1, Kansas City, MO 64138 | 2016-11-29 |
| 1770958951 | Prxp of Ks LLC | Pharmacy | 300-340 Southwest Blvd, Suite 103, Kansas City, KS 66103-2150 | 2015-12-14 |
| 1457760878 | Cosentino Group Inc | Pharmacy | 9717 N Ash Ave, Kansas City, MO 64157-9678 | 2014-08-11 |
| 1528326253 | Genoa Healthcare, LLC | Pharmacy | 3100 Ne 83rd St Ste 1107, Kansas City, MO 64119-4460 | 2012-05-01 |
| 1366708935 | Affinity Biotech Inc | Pharmacy | 8040 Parallel Pkwy Ste 122, Kansas City, KS 66112-2072 | 2012-04-07 |
| 1447375613 | Transmed Pharmacy Inc | Pharmacy | 1001 E 101st Ter, Suite 240, Kansas City, MO 64131-3368 | 2007-03-20 |
| 1447302732 | Finnell & Bond Pharmacy Inc | Pharmacy | 3017 Strong Ave, Kansas City, KS 66106-2111 | 2007-01-17 |
| 1821153255 | Cosentino Enterprises Inc | Pharmacy | 2415 Ne Vivion Rd, Kansas City, MO 64118-6221 | 2006-12-26 |
| 1376606988 | Cosentino Enterprises Inc | Pharmacy | 10225 N Oak Trfy, Kansas City, MO 64155-1715 | 2006-12-18 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64155 |
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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.