WALGREEN CO. (NPI# 1164629903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164629903 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO. |
| Other Organization Name | WALGREENS #10579 |
| Practice Address |
403 S Main St Bryan OH 43506-2186 |
| Mailing Address |
1901 E Voorhees St Mailstop #790 Danville IL 61834-4509 |
| Practice Telephone | 4196360613 |
| Mailing Telephone | (217) 709-2386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2017-05-24 |
| 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 | 02-1715600 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2763700 | 05 | |
| NCPDP | 3675987 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #10579 | 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 |
403 S MAIN ST |
| City | BRYAN |
| State | OH |
| Zip Code | 43506-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225012453 | Philip Michael Bauer | Pharmacist | 403 S Main St, Bryan, OH 43506-2186 | 2005-12-01 |
| 1437775897 | Caleb Jay Wright | Pharmacist | 403 S Main St, Bryan, OH 43506-2186 | 2020-06-22 |
| 1619593167 | Casey Francoeur | Pharmacist | 403 S Main St, Bryan, OH 43506-2186 | 2020-06-21 |
| 1346520970 | Andrew Dwight Buckland | Pharmacist | 403 S Main St, Bryan, OH 43506-2186 | 2011-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750883203 | Jennifer Spangler | Massage Therapist | 228 S. Main St., Bryan, OH 43506 | 2018-03-01 |
| 1922547215 | Alissa Niswonger | Specialist/Technologist | 106 Avenue B, Bryan, OH 43506 | 2017-02-20 |
| 1902140320 | Marcia Jean Slabaugh | Physical Therapy Assistant | 5299 County Road 1575, Bryan, OH 43506 | 2012-11-26 |
| 1215086640 | Filling Memorial Home Cardinal | Intermediate Care Facility, Mentally Retarded | 1211 Cardinal Drive, Bryan, OH 43506 | 2007-01-08 |
| 1396855714 | Williams County Transport | Ambulance | 05842 St Rt 15, Bryan, OH 43506 | 2006-08-30 |
| 1982635603 | Americare Health Services LLC | Durable Medical Equipment & Medical Supplies | 121 E South St, Bryan, OH 43506 | 2006-07-05 |
| 1174561963 | Richard U Baldwin | Emergency Medicine | 433 W. High St., Bryan, OH 43506 | 2006-06-03 |
| 1073595757 | Thomas A. Losey | Family Medicine | 442 West High Street, Midwest Community Health Associates, Bryan, OH 43506 | 2005-11-17 |
| 1841298296 | Claire Laree Osborn | Family Medicine | Activate Healthcare/500 W Mulberry St., Suite 101, Bryan, OH 43506 | 2005-07-11 |
| 1225519762 | Fountain City Chiropractic & Rehabilitation, Inc | Chiropractor | 1525 W High St, Ste A, Bryan, OH 43506 | 2018-08-23 |
| Find all providers in zip 43506 | ||||
| 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 |
|---|---|---|---|---|
| 1952849309 | Oben Pharmacy Group LLC | Pharmacy | 4500 Carter Creek Pkwy Ste 202, Bryan, TX 77802-4494 | 2017-02-06 |
| 1366469553 | Wal-mart Stores East Lp | Pharmacy | 1215 S Main St, Bryan, OH 43506-2442 | 2006-07-16 |
| 1316932551 | Ringers Drug Store Inc Dba Ringers Drug Store | Pharmacy | 125 S Main St, Bryan, OH 43506-1754 | 2005-09-14 |
| 1972128874 | St.meena Pllc | Pharmacy | 2601 Osler Blvd, Bryan, TX 77802-2516 | 2020-06-16 |
| 1578802211 | Health Partners of Western Ohio | Pharmacy | 228 S Main St, Bryan, OH 43506-1755 | 2013-01-31 |
| 1912056730 | Brazos Valley Community Action Agency Inc | Pharmacy | 3370 S Texas Ave, Bryan, TX 77802-3127 | 2007-01-10 |
| 1326033523 | Ringers Drug Store Inc Dba Ringers Prof Pharmacy | Pharmacy | 442 W High St, Bryan, OH 43506-1681 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114013 | North Linden Pharmacy | Pharmacy | 1000 Georgesville Rd Ste B, Columbus, OH 43228-3304 | 2020-11-05 |
| 1477150951 | Genesis Healthcare System | Pharmacy | 945 Bethesda Dr Ste 20, Zanesville, OH 43701-0801 | 2020-10-07 |
| 1700493517 | Health Springs Rx LLC | Pharmacy | 9474 Springboro Pike, Miamisburg, OH 45342-4426 | 2020-09-25 |
| 1154939304 | University Hospitals Home Care Services Inc | Pharmacy | 24865b Emery Rd, Attn: Allene Naples, Warrensville Heights, OH 44128-5636 | 2020-07-14 |
| 1285257451 | Signal Hill Solutions, Inc. | Pharmacy | 5718 Signal Hill Ct Ste B, Milford, OH 45150-1452 | 2020-05-22 |
| 1912527979 | Wellness 1 Pharmacy- Mason | Pharmacy | 6681 Western Row Rd, Mason, OH 45040-1305 | 2020-04-20 |
| 1972122927 | Matrix Rx LLC | Pharmacy | 3775b Trueman Ct, Hilliard, OH 43026-2496 | 2020-04-09 |
| 1770112526 | Hebron Rx Care LLC | Pharmacy | 96-d Integrity Dr, Hebron, OH 43025 | 2020-04-03 |
| 1740816453 | Mahavir Swami LLC | Pharmacy | 540 N Center St, Lagrange, OH 44050-9749 | 2020-03-14 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 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.