WALGREEN CO (NPI# 1225043359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225043359 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #6066 |
| Practice Address |
1804 N Jefferson St Huntington IN 46750-1343 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2603580014 |
| Practice Fax Number | 2603567498 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-11-30 |
| 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 | 60003626A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100307810A | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1524924 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #6066 | 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 |
1804 N JEFFERSON ST |
| City | HUNTINGTON |
| State | IN |
| Zip Code | 46750-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321202 | Wyatt Simpson | Pharmacist | 1804 N Jefferson St, Huntington, IN 46750-1343 | 2020-06-23 |
| 1528460680 | Danielle Locke | Pharmacist | 1804 N Jefferson St, Huntington, IN 46750-1343 | 2014-09-19 |
| 1992147383 | Kurtis Foellinger | Pharmacist | 1804 N Jefferson St, Huntington, IN 46750-1343 | 2013-07-25 |
| 1952684029 | Deborah Ann Dyson | Pharmacist | 1804 N Jefferson St, Huntington, IN 46750-1343 | 2011-09-24 |
| 1548543879 | Victoria Kay Downs | Pharmacist | 1804 N Jefferson St, Huntington, IN 46750-1343 | 2011-09-22 |
| 1780967190 | Robin Baker | Pharmacist | 1804 N Jefferson St, Huntington, IN 46750-1343 | 2011-09-21 |
| 1023391570 | David Foerman | Pharmacist | 1804 N Jefferson St, Huntington, IN 46750-1343 | 2011-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457750457 | Michael Sands | Physical Therapist | 2001 Stults Road, Huntington, IN 46750 | 2014-08-15 |
| 1487917894 | Chelsi Huff | Speech-Language Pathologist | 1401 Park Hill Dr, Huntington, IN 46750 | 2012-06-20 |
| 1346540556 | Timothy Theye | Social Worker | 2860 Norhpark Ave., Huntington, IN 46750 | 2010-10-22 |
| 1710215090 | Manry Optometry, Inc. | Optometrist | 2932 Wal-mart Dr, Huntington, IN 46750 | 2009-11-25 |
| 1821114372 | Assisted Living Concepts Inc | Assisted Living Facility | 460 Forks of The Waba, Huntington, IN 46750 | 2007-03-22 |
| 1740316199 | Christine A Schnitz | Day Training/Habilitation Specialist | 435 Campus, Kids Kampus, Huntington, IN 46750 | 2007-02-27 |
| 1447397450 | Pathfinder Services Inc | Occupational Therapist | 435 Campus St, Huntington, IN 46750 | 2007-01-31 |
| 1487703781 | Sally Eileen Herman | Social Worker | 552 N Jefferson, Huntington, IN 46750 | 2007-01-09 |
| 1841356482 | Womens Medical Specialists | Obstetrics & Gynecology | 1060 Etna Avenue, Huntington, IN 46750 | 2006-12-28 |
| 1386748531 | Thomas J Ringenberg | Family Medicine | 941 Etna Ave, Huntington, IN 46750 | 2006-09-09 |
| Find all providers in zip 46750 | ||||
| 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 |
|---|---|---|---|---|
| 1821601592 | Ashton Blake Sparks | Pharmacy | 21 Pyramid Dr Apt 620, Huntington, WV 25705-3269 | 2020-08-24 |
| 1295382083 | Shelby Paige Humphrey | Pharmacy | Marshall School of Pharmacy One John Marshall Drive, Huntington, WV 25755-0001 | 2019-08-26 |
| 1376039776 | Genoa Healthcare, LLC | Pharmacy | 55 Horizon Dr Ste P, Huntington, NY 11743-4436 | 2018-07-09 |
| 1285012138 | Kmart3425 | Pharmacy | 5636 Us Route 60, Huntington, WV 25705-2148 | 2015-05-12 |
| 1902954951 | King Kullen Pharmacies Corp | Pharmacy | 50 New York Ave, Huntington, NY 11743-2199 | 2007-01-08 |
| 1457427965 | Huntington Regional Medical Park Pharmacy Inc | Pharmacy | 5170 Route 60 E, Suite 2800, Huntington, WV 25705 | 2006-11-27 |
| 1619040136 | Kroger Limited Partnership I | Pharmacy | 2718 Guilford St, Huntington, IN 46750-9701 | 2006-11-15 |
| 1982786760 | Fruth Pharmacy Inc | Pharmacy | 125 7th Ave, Huntington, WV 25701-1923 | 2006-10-20 |
| 1346255288 | Fruth Pharmacy Inc | Pharmacy | 425 Camden Rd, Huntington, WV 25704-2708 | 2006-07-29 |
| 1255346193 | Fruth Pharmacy Inc | Pharmacy | 1419 Us Route 60, Huntington, WV 25705-1654 | 2006-07-29 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 46750 |
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.