WALGREENS (NPI# 1205170610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205170610 |
| Entity Type | Organization |
| Organization Name | WALGREENS |
| Practice Address |
2801 Adeline St Berkeley CA 94703-2204 |
| Mailing Address |
100 Grand Ave Apt 104 Oakland CA 94612-3823 |
| Practice Telephone | 5109818392 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | HONG-VY BUI-NGUYEN (PHARMACIST) |
| Authorized Official Telephone | 7144145146 |
| Authorized Official Credential | PHARMD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 67891 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790228146 | Walgreens | Health Maintenance Organization | 99 Tide Mill Ln, Apt #96, Hampton, VA 23666-2764 | 2016-12-02 |
| 1790140663 | Walgreens | Pharmacy | 4524 Tutbury Ct, Amarillo, TX 79119-6514 | 2015-12-21 |
| 1285003442 | Walgreens | Pharmacy | 7937 Hendricks Dr, San Diego, CA 92126-3538 | 2015-09-17 |
| 1932585387 | Walgreens | Pharmacy | 214 Emerson St, Palo Alto, CA 94301-1056 | 2015-08-09 |
| 1972989861 | Walgreens | Pharmacy | 3528 S Clement Ave, Milwaukee, WI 53207-3502 | 2015-08-03 |
| 1437534542 | Walgreens | Pharmacy | 13 North Black Horse Pike, Williamstown, NJ 08094 | 2015-07-30 |
| 1134503261 | Walgreens | Pharmacy | 333 Riverland Dr, Charleston, SC 29412-2345 | 2015-07-18 |
| 1255726964 | Walgreens | Pharmacy | 2221 Naomi St, Houston, TX 77054-3823 | 2015-03-31 |
| 1578957403 | Walgreens | Pharmacist | Cond Villa Caparra Plz, 580 Marginal Buchanan, Guaynabo, PR 00966-1731 | 2015-03-28 |
| 1427441716 | Walgreens | Contractor | 388 Beale St Apt 1305, Folsom, San Francisco, CA 94105-4422 | 2015-03-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WALGREENS | 200 Wilmot Rd, Deerfield, IL 60015-4620 |
| Oregon Corporations, Companies and Business Names | WALGREENS | 302 Wilmot Rd Ms #3353, Deerfield, IL 60015 |
| Vermont Business Registrations | WALGREENS #11526 | 302 Wilmot Rd., Ms #3353, Deerfield, IL 60015 |
| New York State Corporations | WALGREENS 6195, LLC | 314 Fifth Avenue, Floor 3, New York, New York 10001 |
| New York State Corporations | WALGREENS FEDERAL HEIGHTS INVESTORS, LLC | 322 Main Street, Port Washington, New York 11050 |
| New York State Corporations | WALGREENS FRESNO INVESTORS, LLC | 322 Main Street, Port Washington, Ny 11050 |
| Vermont Business Registrations | WALGREENS HEALTH INITIATIVES | 200 Wilmot Rd, Deerfield, IL 60015 |
| Oklahoma Business Registrations | WALGREENS HEALTHCARE PLUS, INC. | Law, 200 Wilmot Rd., Deerfield, IL 60015 |
| Vermont Business Registrations | WALGREENS HEALTHCARE PLUS, INC. | 200 Wilmot Road, Deerfield, IL 60015 |
| Indiana Business Entities | WALGREENS HEALTHCARE PLUS, INC. | 300 Wilmot Road, Attn: Tax Dept., Deerfield, IL 60015 |
| Street Address |
2801 ADELINE ST |
| City | BERKELEY |
| State | CA |
| Zip Code | 94703-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558376830 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2801 Adeline St, Berkeley, CA 94703-2204 | 2006-07-29 |
| 1982236063 | Dylan Mcnulty | Pharmacist | 2801 Adeline St, Berkeley, CA 94703-2204 | 2020-02-06 |
| 1093215071 | Abigail Anne Casem Mamaril | Pharmacist | 2801 Adeline St, Berkeley, CA 94703-2204 | 2018-02-16 |
| 1568912764 | Michael Dai | Pharmacist | 2801 Adeline St, Berkeley, CA 94703-2204 | 2016-10-12 |
| 1265858088 | Yanhui Zeng | Pharmacist | 2801 Adeline St, Berkeley, CA 94703-2204 | 2014-03-17 |
| 1912250291 | Nguyet Vo | Pharmacist | 2801 Adeline St, Berkeley, CA 94703-2204 | 2012-10-24 |
| 1437430436 | Iris Paw | Pharmacist | 2801 Adeline St, Berkeley, CA 94703-2204 | 2011-09-02 |
| 1235410614 | Yan Yan Law | Pharmacist | 2801 Adeline St, Berkeley, CA 94703-4821 | 2011-08-30 |
| 1528355302 | Nathan Jackson Slowey | Pharmacist | 2801 Adeline St, Berkeley, CA 94703-2204 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811553621 | Brittney Jerrilena Monique Garrett | Behavioral Analyst | 1901 Stuart St, Berkeley, CA 94703 | 2019-05-16 |
| 1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
| 1619427549 | Sigal Gafni | Occupational Therapist | 1622 Parker St. Apt. 1, Berkeley, CA 94703 | 2016-10-04 |
| 1750741138 | Ane Becker | Community Health Worker | 2026 Woolsey St, Berkeley, CA 94703 | 2016-02-29 |
| 1245697135 | Sara Dinome Teel Vargas | Chiropractor | 3286 Adeline St., Suite 9, Berkeley, CA 94703 | 2016-01-22 |
| 1083081608 | Olivia Debree | Nurse Practitioner | 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 | 2015-08-31 |
| 1962885988 | Caro Grosvenor | Marriage & Family Therapist | 1511 Ada Street, Berkeley, CA 94703 | 2015-07-08 |
| 1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
| 1013340223 | Denise Daniel | Acupuncturist | 6222 La Salle Ave Suite B, Oakland, CA 94703 | 2013-08-12 |
| 1104126200 | Iramis Kouromenos | Dental Hygienist | 1721 University Ave Apt#209, Berkeley, CA 94703 | 2010-10-25 |
| Find all providers in zip 94703 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868647 | Komalpreet Kaur | Pharmacist | 1444 Shattuck Place, Berkeley, CA 94709 | 2019-12-16 |
| 1861043424 | Cayla Christine Slaughter | Pharmacist | 4441 Brown Rd, Berkeley, MO 63134-3405 | 2019-09-25 |
| 1790293389 | Nga Thien Ho | Pharmacist | 1500 Gilman St, Berkeley, CA 94710 | 2018-01-17 |
| 1437668464 | Raven Forrest | Pharmacist | 8640 Evans Ave, Berkeley, MO 63134-2903 | 2017-09-21 |
| 1578084067 | Kwun Lum | Pharmacist | 2222 Bancroft Way Ste 1115, Berkeley, CA 94720-4301 | 2017-07-05 |
| 1578014304 | Andy Wong | Pharmacist | 2001 Dwight Way Ste 2182, Berkeley, CA 94704-2608 | 2016-10-17 |
| 1750742011 | Prashant Patel | Pharmacist | 2915 Telegraph Ave # 100, Berkeley, CA 94705-2060 | 2016-03-15 |
| 1720487077 | Robin Jung | Pharmacist | 2818 Telegraph Ave, #22, Berkeley, CA 94705-1152 | 2014-08-21 |
| 1417361692 | Leslie Carstensen Floren | Pharmacist | 889 Santa Barbara Rd, Berkeley, CA 94707-2017 | 2014-06-16 |
| 1104197664 | Nadia C Hughes | Pharmacist | 1228 N Irving Ave, Berkeley, IL 60163-1130 | 2012-01-14 |
| Find all providers in BERKELEY | ||||
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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.