WALGREEN CO (NPI# 1174874267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174874267 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #13793 |
| Practice Address |
12010 County Line Road Madison AL 35756-2000 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2562306345 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2016-01-14 |
| 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 | 113988 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 1174874267 | 05 | |
| AL | NCPDP | 0138203 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #13793 | 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 |
12010 COUNTY LINE ROAD |
| City | MADISON |
| State | AL |
| Zip Code | 35756-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386191914 | Jennifer Ryder | Nurse Practitioner | 8 Ross Street, Madison, AL 35756 | 2016-09-01 |
| 1700256252 | Community Urgent Care of Madison, Inc | Family Medicine | 30694 Highway 72, Suite E, Madison, AL 35756 | 2015-09-28 |
| 1609271220 | Corner Crossing LLC | Pharmacy | 30694 Highway 72 West, Suite A, Huntsville, AL 35756 | 2014-10-24 |
| 1881941482 | Darleen Rebecca Morris | Physical Therapist | 12110 County Line Rd Ste B, Madison, AL 35756 | 2012-08-14 |
| 1528125622 | Mary Bryant | Physical Therapist | 30630 Hwy 72 West, Madison, AL 35756 | 2007-01-02 |
| 1689730194 | Mayra H Blanche | Occupational Therapist | 30630 Hwy. 72 West, Madison, AL 35756 | 2006-12-29 |
| 1952357907 | Giles Henry Vaden | Counselor | 140 Fields Pond Drive, Madison, AL 35756 | 2006-05-25 |
| 1881816023 | Heather Grogan | Occupational Therapist | 30630 Hwy. 72 West, Madison, AL 35756 | 2007-05-03 |
| 1255498358 | Judy Hawke | Physical Therapist | 30630 Hwy. 72 West, Madison, AL 35756 | 2007-01-02 |
| 1700943800 | Bryan Brazelle | Physical Therapist | 30630 Hwy 72 West, Madison, AL 35756 | 2007-01-02 |
| Find all providers in zip 35756 | ||||
| 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 |
|---|---|---|---|---|
| 1013368216 | Kroger Limited Partnership I | Pharmacy | 4579 Wall Triana Hwy, Madison, AL 35758-9305 | 2016-06-29 |
| 1740636786 | Mississippi Center for Advanced Medicine PC | Pharmacy | 7731 Old Canton Rd Ste B, Madison, MS 39110-6115 | 2016-05-09 |
| 1588077325 | Madison Pharmacy Inc. | Pharmacy | 8498 Madison Blvd Ste A, Madison, AL 35758-2049 | 2014-06-10 |
| 1831419688 | Gluckstadt Special Care Pharmacy & Compounding | Pharmacy | 1716 Highway 51, Suite N, Madison, MS 39110-5020 | 2010-06-03 |
| 1013169598 | Willow Pharmacy Inc | Pharmacy | 2445 Darwin Rd, Suite 102, Madison, WI 53704-3116 | 2008-10-16 |
| 1790821312 | Skj Inc | Pharmacy | 217 Cottage Grove Rd, Madison, WI 53716-1105 | 2007-01-30 |
| 1114075777 | Roundys Supermarkets Inc | Pharmacy | 2502 Shopko Dr, Madison, WI 53704-4119 | 2007-01-08 |
| 1134205008 | Moore Health Inc. | Pharmacy | 1400 Eatonton Rd, Suite 600, Madison, GA 30650-4642 | 2006-10-31 |
| 1265521884 | Lewis Drugs Inc | Pharmacy | 741 S Washington Ave, Madison, SD 57042-3409 | 2006-10-12 |
| 1780772236 | University of Wisconsin Hospitals & Clinics Authority | Pharmacy | 702 N Midvale Blvd, Suite 168, Madison, WI 53705-3261 | 2006-10-10 |
| Find all providers in MADISON | ||||
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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.