WALGREEN CO (NPI# 1164688305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164688305 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #11962 |
| Practice Address |
1471 Broadway New York NY 10036-6560 |
| Mailing Address |
1901 E Voorhees St M/s 790 Danville IL 61834-4509 |
| Practice Telephone | 2123020552 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2019-01-24 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 029200 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03057870 | 05 | |
| NY | NCPDP | 3358632 | 01 |
| Other Name | Type Code |
|---|---|
| Walgreen Eastern Co #11962 | Doing Business As Name - Organization |
| Walgreens #11962 | 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 |
1471 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10036-6560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780854133 | Linda Wen | Pharmacist | 1471 Broadway, New York, NY 10036-6560 | 2008-03-01 |
| 1225516677 | Raymond Sze | Pharmacy | 1471 Broadway, New York, NY 10036-6560 | 2018-07-29 |
| 1104221159 | Kangbum Yi | Pharmacist | 1471 Broadway, New York, NY 10036-6560 | 2014-10-31 |
| 1063798262 | Starbeth Moon | Pharmacist | 1471 Broadway, New York, NY 10036-6560 | 2011-11-01 |
| 1548561913 | Alexandra L Broadus | Pharmacist | 1471 Broadway, New York, NY 10036-6560 | 2010-11-16 |
| 1730402926 | Alison Solomon | Pharmacist | 1471 Broadway, New York, NY 10036-6560 | 2010-03-02 |
| 1598087173 | Radha Chatterjee | Pharmacist | 1471 Broadway, New York, NY 10036-6560 | 2010-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272999 | Caroline Edmunds Purdy | Acupuncturist | 19 West 45th Street Suite 501, New York, NY 10036 | 2020-10-09 |
| 1720612724 | Denisa Dyli | Registered Nurse | 305 West 44th Street, New York, NY 10036 | 2020-02-27 |
| 1023651148 | Trang Bui | Pharmacist | 687 9th Avenue, New York, NY 10036 | 2019-10-21 |
| 1306495361 | Desiree Polonis | Social Worker | 19 W. 45th Street, Suite 705, New York, NY 10036 | 2019-09-11 |
| 1902462575 | Darren Louie | Acupuncturist | 19 W 45th Street, Suite 501, New York, NY 10036 | 2019-05-19 |
| 1477019958 | Esoterra Acupuncture PC | Massage Therapist | 19 W 45 St, Ste 501, New York, NY 10036 | 2019-02-20 |
| 1679045009 | Novel Podiatry Pllc | Podiatrist | 28 West 44th Street, Ste 209, New York, NY 10036 | 2018-12-25 |
| 1699245274 | Anne Michelle Dearwater | Physical Therapist | 36 W44th Street Suite 403, New York, NY 10036 | 2018-11-27 |
| 1154805927 | Christine D'urso | Psychologist | 17-19 W. 45th Street, Suite 907, New York, NY 10036 | 2018-09-18 |
| 1861990335 | Therapath Partners, LLC | Clinical Medical Laboratory | 545 W 45th St Fl 7, New York, NY 10036 | 2018-01-30 |
| Find all providers in zip 10036 | ||||
| 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 |
|---|---|---|---|---|
| 1740891001 | Cureatr Inc | Pharmacy | 17 W 20th St Fl 3, New York, NY 10011-3702 | 2020-08-11 |
| 1619502127 | Advanced Care Associates LLC | Pharmacy | 2 Allen St Unit 5a, New York, NY 10002-5383 | 2020-03-04 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1730662412 | Gia & Gray Apothecary Inc. | Pharmacy | 138 W Broadway, New York, NY 10013-3352 | 2018-09-10 |
| 1417448945 | 1400 St Nicholas LLC | Pharmacy | 1400 Saint Nicholas Ave, New York, NY 10033-4027 | 2018-05-21 |
| 1346749629 | Rx Wellness Inc | Pharmacy | 2083 Amsterdam Ave, New York, NY 10032-5156 | 2018-02-01 |
| 1164939195 | Healthy Heights Pharmacy Inc | Pharmacy | 1370 Saint Nicholas Ave Store #2, New York, NY 10033-6227 | 2017-12-28 |
| 1124530084 | East Harlem Council for Human Services Inc | Pharmacy | 2265 3rd Ave Fl 1, New York, NY 10035-2231 | 2017-11-01 |
| 1235640418 | Lexington Pharmacy Inc | Pharmacy | 2272 3rd Ave, New York, NY 10035-2209 | 2017-10-16 |
| 1023529245 | Alpina Pharmacy Inc. | Pharmacy | 155 W 145th St, New York, NY 10039-4210 | 2017-10-15 |
| Find all providers in NEW YORK | ||||
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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.