WALGREEN CO (NPI# 1215229836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215229836 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #13852 |
| Practice Address |
106 Illini Blvd Sherman IL 62684 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2174962392 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2018-08-23 |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NCPDP | 1485588 | 01 |
| Other Name | Type Code |
|---|---|
| Walgreens #13852 | 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 |
106 ILLINI BLVD |
| City | SHERMAN |
| State | IL |
| Zip Code | 62684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184134587 | Kathryn Elzerman | Pharmacist | 106 Illini Blvd, Sherman, IL 62684-8484 | 2017-10-11 |
| 1659654218 | Sandra J Le | Pharmacist | 106 Illini Blvd, Sherman, IL 62684-8480 | 2011-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760994404 | Sarah Rae Wickenhauser | Nurse Practitioner | 2806 E Andrew Rd, Sherman, IL 62684 | 2017-11-03 |
| 1609963214 | Leticia A. Drapiza | Family Medicine | 400 St. John's Drive, Sherman, IL 62684 | 2006-10-06 |
| 1366424723 | John P Folkerts | Chiropractor | 420 S Crossing Dr, Sherman, IL 62684 | 2005-11-18 |
| 1548386535 | Jill Noel Edwards | Speech-Language Pathologist | 485 Meredith Dr, Sherman, IL 62684-8180 | 2007-03-21 |
| 1225567936 | Taylor Edwards | Developmental Therapist | 485 Meredith Dr, Sherman, IL 62684-8180 | 2017-06-06 |
| 1285934448 | Jennifer Relyea | Speech-Language Pathologist | 720 S 1st St, Sherman, IL 62684-9448 | 2010-10-21 |
| 1063971711 | Grayce Parker | Speech-Language Pathologist | 605 Stonehill Dr, Sherman, IL 62684-9504 | 2019-03-12 |
| 1508254004 | Stacy Nicle Mahinda | Student in an Organized Health Care Education/Training Program | 41 Knollwood Dr, Sherman, IL 62684-9524 | 2015-01-06 |
| 1598062994 | Jennifer Elizabeth Hudgins | Contractor | 410 Ramblewood Ln, Sherman, IL 62684-9531 | 2011-02-21 |
| 1164068805 | Kaitlyn Tucker | Nurse Practitioner | 26 Knollwood Dr, Sherman, IL 62684-9559 | 2019-11-18 |
| Find all providers in zip 62684 | ||||
| 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 |
|---|---|---|---|---|
| 1396105011 | Genoa Healthcare, LLC | Pharmacy | 315 W Mclain Dr Ste 308, Sherman, TX 75092-2605 | 2016-02-24 |
| 1497007892 | Fortune Rx, LLC | Pharmacy | 1916 N. Grand Ave, Sherman, TX 75090-2610 | 2012-10-09 |
| 1881870228 | Lower Crossing Pharmacy LLC | Pharmacy | 670 Highway 178 W, Ste 1, Sherman, MS 38869-7000 | 2008-01-16 |
| 1427121045 | Kroger Texas L P | Pharmacy | 1820 N Loy Lake Rd, Sherman, TX 75090-0203 | 2006-11-15 |
| 1043393598 | Mason County Drugs, Inc | Pharmacy | 420 Crossing Dr, Sherman, IL 62684-9640 | 2006-10-20 |
| 1568556876 | Randy Bennett Enterprises Inc | Pharmacy | 1624 N Travis St, Sherman, TX 75092-3769 | 2006-10-03 |
| 1326153529 | Lifechek Montgomery Lp | Pharmacy | 2001 N Loy Lake Rd, Sherman, TX 75090-2839 | 2006-08-20 |
| 1023036712 | Sams East Inc | Pharmacy | 3333 N Us Highway 75, Sherman, TX 75090-2525 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702549 | Aster Pharmacy LLC | Pharmacy | 9213 Waukegan Rd, Morton Grove, IL 60053-2102 | 2020-05-27 |
| 1568083301 | Pointcore, Inc. | Pharmacy | 1800 N Knoxville Ave Ste G, Peoria, IL 61603-3028 | 2020-05-04 |
| 1336768001 | Mhg Pharmacy Services, LLC | Pharmacy | 2923 N California Ave Ste 240, Chicago, IL 60618-7702 | 2020-04-13 |
| 1184258824 | Metropolitian Austin Outpatient Pharmacy LLC | Pharmacy | 645 S Central Ave Ste 1, Chicago, IL 60644-5059 | 2020-03-02 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1568093615 | Carefirst Pharmacy, Inc. | Pharmacy | 2253 N Cicero Ave, Chicago, IL 60639-3327 | 2020-01-28 |
| 1720624521 | Affinity Pharmacy Care LLC | Pharmacy | 285 W Loop Rd Ste 1, Wheaton, IL 60189-2036 | 2019-11-27 |
| 1104462126 | Loyola University Medical Center | Pharmacy | 2160 S 1st Ave Rm 150-1610, Maywood, IL 60153-3328 | 2019-11-25 |
| 1346886512 | Value Plus Pharmacy LLC | Pharmacy | 457 W Liberty St, Wauconda, IL 60084-2452 | 2019-11-22 |
| 1841833100 | April M Bailey | Pharmacy | 1019 Oakcrest Dr, Rantoul, IL 61866-1118 | 2019-10-18 |
| 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.