WALGREEN CO (NPI# 1194730457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194730457 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #03412 |
| Practice Address |
5917 Baseline Rd Little Rock AR 72209-5046 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 5015657844 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-03-21 |
| 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 | 18764 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 100130006 | 05 | |
| AR | 127407407 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0418764 | 01 | |
| AR | 156947716 DME | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #03412 | 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 |
5917 BASELINE RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72209-5046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140107 | Sarah Elizabeth Zulfer | Pharmacist | 5917 Baseline Rd, Little Rock, AR 72209-5046 | 2020-06-25 |
| 1598216012 | Dottie Merritt | Pharmacist | 5917 Baseline Rd, Little Rock, AR 72209-5046 | 2016-10-19 |
| 1134473754 | Linda A Singleton | Pharmacist | 5917 Baseline Rd, Little Rock, AR 72209-5046 | 2012-11-05 |
| 1891064531 | Elmer Lee Shinabery | Pharmacist | 5917 Baseline Rd, Little Rock, AR 72209-5046 | 2011-12-27 |
| 1669758371 | Shakera Renette Ready | Pharmacist | 5917 Baseline Rd, Little Rock, AR 72209-5046 | 2011-10-26 |
| 1487930285 | Daniel Spadaro | Pharmacist | 5917 Baseline Rd, Little Rock, AR 72209-5046 | 2011-10-25 |
| 1275818627 | Kasey L Mccrary | Pharmacist | 5917 Baseline Rd, Little Rock, AR 72209-5046 | 2011-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
| 1659913861 | Jerry Dean Swiney | Technician | 8401 Community Road, Little Rock, AR 72209 | 2019-10-09 |
| 1720501307 | A2z Therapy of Little Rock | Clinic/Center | 10702 Warren Dr, Little Rock, AR 72209 | 2017-07-25 |
| 1235582560 | Elite Medical Care, LLC | Respiratory Therapist, Registered | 11701 Interstate 30 Ste 100, Little Rock, AR 72209 | 2016-07-21 |
| 1154772127 | Aminah Henderson | Case Manager/Care Coordinator | 9914 I-30 Frontage Rd., Little Rock, AR 72209 | 2016-06-30 |
| 1295151504 | Properly Aligned LLC | Chiropractor | 7117 Geyer Springs, Little Rock, AR 72209 | 2014-03-11 |
| 1396178471 | Renal Treatment Centers - Southeast Lp | Clinic/Center | 6115 Baseline Rd, Ste 100, Little Rock, AR 72209 | 2013-08-13 |
| 1124378039 | Samuel Edward Adkins | Counselor | 9914 I-30 Frontage Road, Little Rock, AR 72209 | 2012-09-18 |
| 1073806790 | Gabrielle Stewart | Counselor | 9914 I-30 Frontage Rd, Little Rock, AR 72209 | 2011-05-27 |
| 1285951079 | Charles Jenson | Psychiatry & Neurology | 11321 Interstate 30 Ste 304, Little Rock, AR 72209 | 2010-05-03 |
| Find all providers in zip 72209 | ||||
| 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 |
|---|---|---|---|---|
| 1023535655 | Genoa Healthcare, LLC | Pharmacy | 10025 W Markham St Ste 135, Little Rock, AR 72205-1408 | 2017-08-24 |
| 1669835484 | Ppg Store 3, LLC | Pharmacy | 11414 W Markham Street, Little Rock, AR 72703 | 2016-03-30 |
| 1235475427 | Remedy Drug, Inc | Pharmacy | 8511 W Markham St, Little Rock, AR 72205-2432 | 2012-12-17 |
| 1669759650 | Coram Alternate Site Services, Inc. | Pharmacy | 12120 Colonel Glenn Rd Ste 8000, Little Rock, AR 72210-2847 | 2011-11-04 |
| 1538202619 | Little Rock Community Mental Health Center Inc | Pharmacy | 1100 N University Ave Ste 240, Little Rock, AR 72207-6358 | 2007-02-15 |
| 1083774210 | Kroger Limited Partnership I | Pharmacy | 1900 N Polk St, Little Rock, AR 72207-4634 | 2006-12-11 |
| 1275616682 | Super D Drug Acquisition Co. | Pharmacy | 4010 W 12th St, Little Rock, AR 72204-2047 | 2006-10-23 |
| 1255449831 | Fruchey, Inc | Pharmacy | 400 W Capitol Ave # 101a, Regions Center, Little Rock, AR 72201-3436 | 2006-08-25 |
| 1396750998 | Rx Moose Inc | Pharmacy | 6815 Cantrell Rd, Little Rock, AR 72207-4134 | 2006-07-30 |
| 1194740894 | Kroger Limited Partnership I | Pharmacy | 614 Beechwood St, Little Rock, AR 72205-3847 | 2006-07-13 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72209 |
Please comment or provide details below to improve the information on WALGREEN CO.
| 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.