WALGREEN CO. (NPI# 1164447140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164447140 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO. |
| Other Organization Name | WALGREENS #09836 |
| Practice Address |
480 Highway 76 White House TN 37188-9201 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 6156724930 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2016-07-25 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 4262 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 4439279 | 01 | |
| TN | 4439279 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #09836 | 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 |
480 HIGHWAY 76 |
| City | WHITE HOUSE |
| State | TN |
| Zip Code | 37188-9201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548641186 | Lee Ryan | Pharmacist | 480 Highway 76, White House, TN 37188-9201 | 2015-06-09 |
| 1770744179 | Jennifer Denise Baloun | Pharmacist | 480 Highway 76, White House, TN 37188-9201 | 2008-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909350 | Brandie White | Dentist | 2823 Hwy 31w South Ste 300, White House, TN 37188 | 2020-10-16 |
| 1790336147 | Seven Springs Orthopaedics, PC | Physical Therapist | 707 Highway 76, White House, TN 37188 | 2019-09-26 |
| 1689194623 | Philip B Vickery Frederick L Jones Jr Dba The Smile Center | Dentist | 2823 Hwy 31 W South, White House, TN 37188 | 2017-06-21 |
| 1699213868 | Aaron Pitts | Nurse Practitioner | 305 Skyline Dr, White House, TN 37188 | 2017-02-07 |
| 1609266097 | Blerta Abdi Selden | Dentist | 520 Tn 76, Suite 9, White House, TN 37188 | 2015-01-23 |
| 1538498399 | Elizabeth Price | Nurse Practitioner | 510 West Hwy 76, White House, TN 37188 | 2009-12-08 |
| 1790950020 | Beverly Matthews | Nurse Practitioner | 128 Raymond Hirsch Parkway, Whitehouse, TN 37188 | 2008-04-28 |
| 1417126103 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 222 Wilkinson Lane, White House, TN 37188 | 2008-02-27 |
| 1528249737 | Crossroads Sleep Center,pllc | Clinical Medical Laboratory | 491 Sage Road, Suite 300, White House, TN 37188 | 2007-11-15 |
| 1952596694 | White House Health Care Inc | Assisted Living Facility | 100 Clinton Dr, White House, TN 37188 | 2007-09-06 |
| Find all providers in zip 37188 | ||||
| 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 |
|---|---|---|---|---|
| 1437509742 | White House Pharmacy | Pharmacy | 491 Sage Rd N Ste 1200, White House, TN 37188-9363 | 2016-06-17 |
| 1922024595 | Freds Stores of Tennessee Inc | Pharmacy | 3012 Highway 31 W, White House, TN 37188-8970 | 2006-07-15 |
| 1043244783 | Kroger Limited Partnership I | Pharmacy | 510 Highway 76, White House, TN 37188-9203 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223984 | Ramila, LLC | Pharmacy | 2652, Old Nashville Hwy, Mcminnville, TN 37110 | 2020-10-22 |
| 1063027258 | Aspire Pharmacy LLC | Pharmacy | 907 Rivergate Pkwy # E9, Goodlettsville, TN 37072-2324 | 2020-09-14 |
| 1003436049 | Frances Freeman | Pharmacy | 502 Maplewood Dr, Greenbrier, TN 37073-4638 | 2020-04-20 |
| 1740809292 | Kerri Elizabeth Jones | Pharmacy | 404 Red Cedar Branch Rd, Kingsport, TN 37664-5049 | 2020-04-14 |
| 1073149548 | Cordant Pharmacy Tennessee, LLC | Pharmacy | 640 Spence Ln Ste 220, Nashville, TN 37217-1278 | 2020-03-17 |
| 1538793567 | Fpm LLC | Pharmacy | 6078 S 1st St, Milan, TN 38358-3131 | 2020-02-28 |
| 1730727843 | Publix Tennessee, LLC | Pharmacy | 2223 8th Ave S, Nashville, TN 37204-2205 | 2019-12-19 |
| 1447897483 | Palmer Drug, LLC | Pharmacy | 9971 Sr 56, Coalmont, TN 37313-3731 | 2019-12-10 |
| 1013553155 | Vanderbilt University Medical Center | Pharmacy | 1211 Medical Center Dr # 2906, Nashville, TN 37232-0004 | 2019-11-25 |
| 1003450370 | Shreeya Drugs Inc | Pharmacy | 801 Broad St Ste 100, Chattanooga, TN 37402-2624 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
| City | WHITE HOUSE |
| Zip Code | 37188 |
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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.