WALGREEN CO (NPI# 1225043458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225043458 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #13055 |
| Practice Address |
4299 Winston Ave Covington KY 41015-1709 |
| Mailing Address |
1901 E Voorhees St Ms #790 Danville IL 61834-4509 |
| Practice Telephone | 8592914722 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2016-01-13 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 576 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 54009436 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1800172 | 01 | |
| KY | 90350596 DME | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #13055 | 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 |
4299 WINSTON AVE |
| City | COVINGTON |
| State | KY |
| Zip Code | 41015-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316562564 | Courtney Huntley | Pharmacist | 4299 Winston Ave, Covington, KY 41015-1709 | 2020-06-13 |
| 1518244961 | Jennifer Lininger | Pharmacist | 4299 Winston Ave, Covington, KY 41015-1709 | 2011-11-14 |
| 1093092553 | Thomas Woodrow Russell | Pharmacist | 4299 Winston Ave, Covington, KY 41015-1709 | 2011-11-11 |
| 1164707758 | Chrystyanna Marie Hoefler | Pharmacist | 4299 Winston Ave, Covington, KY 41015-1709 | 2011-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609386580 | Brandon D Smith | Respite Care | 686 Wischer Dr, Taylor Mill, KY 41015 | 2017-10-05 |
| 1669868394 | Katy Hoffman | Counselor | 4339 Winston Avenue, Latonia Center, Covington, KY 41015 | 2015-04-09 |
| 1750499166 | Drs Halpin Psc | Dentist | 5150 Taylor Mill Road, Taylor Mill, KY 41015 | 2006-08-26 |
| 1114996196 | Ryland Heights and Community Volunteer Fire Dept Inc | Ambulance | 10041 Decoursey Pike, Ryland Heights, KY 41015 | 2006-03-14 |
| 1750788261 | Andrew Glockner | Social Worker | 4339 Winston Ave, Covington, KY 41015 | 2014-11-26 |
| 1922445303 | Laura Mcginnis Foor | Family Medicine | 5522 Taylor Mill Rd, Taylor Mill, KY 41015 | 2013-05-27 |
| 1073541967 | Christine Marie Timmerman | Art Therapist | 4339 Winston Ave, Covington, KY 41015 | 2006-06-29 |
| 1124319579 | Tawnya Kordenbrock | Counselor | 3800 Church St., Covington, KY 41015-0742 | 2011-04-20 |
| 1184723918 | Paula Weber | Social Worker | 3629 Church St, Covington, KY 41015-1430 | 2006-09-21 |
| 1679911408 | Kara L Riegler | Counselor | 3629 Church St, Covington, KY 41015-1430 | 2013-06-14 |
| Find all providers in zip 41015 | ||||
| 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 |
|---|---|---|---|---|
| 1457723074 | Covington Multicare Hospital Pharmacy | Pharmacy | 17700 Se 272nd St Ste 100, Covington, WA 98042-4951 | 2015-10-22 |
| 1487058004 | Layton Pharmacy L.L.C. | Pharmacy | 70457 Highway 21 Ste 118, Covington, LA 70433-8155 | 2014-10-09 |
| 1730594870 | Carmichaels of Covington, Inc. | Pharmacy | 9148 Highway 278 Ne Ste D, Covington, GA 30014-7032 | 2014-06-27 |
| 1952647943 | Bradford Pharmacy LLC | Pharmacy | 1500 Highway 51 S, Covington, TN 38019-3212 | 2012-12-19 |
| 1972651974 | Braswell Drugs Inc | Pharmacy | 1107 S Tyler St, Covington, LA 70433-2327 | 2007-01-08 |
| 1497815989 | Pharmacy Operations, Inc | Pharmacy | 1000 Business 190, Covington, LA 70433-3285 | 2006-12-12 |
| 1467479592 | Walmart Inc. | Pharmacy | 17432 Se 270th Pl, Covington, WA 98042-4962 | 2006-07-16 |
| 1962427898 | Richardsons Pharmacy Inc | Pharmacy | 4104 Tate St, Covington, GA 30014-2551 | 2006-07-13 |
| 1780609339 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 50 Park Place Dr, Covington, LA 70433-5183 | 2006-07-13 |
| 1780615815 | K Mart Corp | Pharmacy | 129 Mall Rd, Covington, VA 24426-2413 | 2006-07-06 |
| Find all providers in COVINGTON | ||||
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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.