WALGREEN CO (NPI# 1225284524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225284524 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #11456 |
| Practice Address |
25700 Ford Rd Dearborn Heights MI 48127-3026 |
| Mailing Address |
1901 E Voorhees St M/s 790 Danville IL 61834-4509 |
| Practice Telephone | 3133599640 |
| Mailing Telephone | (217) 709-2386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2017-09-25 |
| 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 | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 5301008961 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NCPDP | 2371588 | 01 |
| MI | MI MEDICAID | 1225284524 | 01 |
| Other Name | Type Code |
|---|---|
| Walgreens #11456 | 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 |
25700 FORD RD |
| City | DEARBORN HEIGHTS |
| State | MI |
| Zip Code | 48127-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710452628 | Zeinab A Nassar | Pharmacist | 25700 Ford Rd, Dearborn Heights, MI 48127-3026 | 2018-10-06 |
| 1902267149 | Ahmed Gomaa | Pharmacist | 25700 Ford Rd, Dearborn Heights, MI 48127-3026 | 2016-03-16 |
| 1457778136 | Rovena Hoxha | Pharmacist | 25700 Ford Rd, Dearborn Heights, MI 48127-3026 | 2014-03-19 |
| 1538445754 | Pamela Jean Zelazny | Pharmacist | 25700 Ford Rd, Dearborn Heights, MI 48127-3026 | 2011-11-02 |
| 1619259462 | Mary Hammoud | Pharmacist | 25700 Ford Rd, Dearborn Heights, MI 48127-3026 | 2011-09-16 |
| 1063792679 | Mona Hammoud | Pharmacist | 25700 Ford Rd, Dearborn Heights, MI 48127-3026 | 2011-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945842 | Lashay Donnetta Byars Biles | Licensed Practical Nurse | 25639 Ford Rd., Dearborn Heights, MI 48127 | 2019-11-04 |
| 1174098982 | George Mousa Mufarreh | Specialist/Technologist, Other | 21630 Breechcrest St., Dearborn Heights, MI 48127 | 2018-10-08 |
| 1285110312 | Fastcaremd Urgent Care PC | Clinic/Center | 6012 N Vernon St, Dearborn Heights, MI 48127 | 2018-07-11 |
| 1356845689 | Wayne Medical Supply | Durable Medical Equipment & Medical Supplies | 26808 Simone St., Dearborn Hts., MI 48127 | 2018-03-21 |
| 1538516729 | Reliable Rehab LLC | Clinic/Center | 22101 W. Warren Ave, Dearborn Heights, MI 48127 | 2016-05-18 |
| 1407232739 | Tri-care Physical Therpay, LLC | Clinic/Center | 24100 W. Warren Ave, Dearborn Heights, MI 48127 | 2015-08-10 |
| 1083012322 | Golden Physical Therapy Pllc | Internal Medicine | 22243 West Warren St, Dearborn Heights, MI 48127 | 2014-12-19 |
| 1225448079 | Kristen Georgina-elizabeth Bogden | Occupational Therapist | 22241 Ann Arbor Trail, Dearborn Heights, MI 48127 | 2014-05-02 |
| 1306276183 | Qazi Healthcare | Family Medicine | 25150 Ford Rd, Ste 100, Dearborn Heights, MI 48127 | 2013-11-15 |
| 1497193957 | Keyyan Medical Pllc | Internal Medicine | 22239 West Warren Ave, Dearborn Heights, MI 48127 | 2013-06-06 |
| Find all providers in zip 48127 | ||||
| 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 |
|---|---|---|---|---|
| 1942561170 | United Pharmacy IIi Enterprises | Pharmacy | 22228 Van Born Rd, Dearborn Heights, MI 48125-2573 | 2012-06-05 |
| 1497030670 | Fadi's Pharmacy Inc | Pharmacy | 8623 N Telegraph Rd Ste 2, Dearborn Heights, MI 48127-1489 | 2011-10-19 |
| 1649389313 | Nhf Inc | Pharmacy | 25524 Ford Rd, Dearborn Heights, MI 48127-3022 | 2006-08-29 |
| 1104841766 | Bormans Inc | Pharmacy | 26400 Ford Rd, Dearborn Heights, MI 48127-2884 | 2006-07-13 |
| 1013998251 | Masha-moss Inc | Pharmacy | 4245 S Beech Daly Rd, Dearborn Heights, MI 48125 | 2005-11-06 |
| 1669023511 | Mcare Pharmacy | Pharmacy | 23800 Ford Rd, Dearborn Heights, MI 48127-3200 | 2019-09-23 |
| 1033639109 | Clinic Rx 2 LLC | Pharmacy | 23850 Van Born Rd, Dearborn Heights, MI 48125 | 2017-06-21 |
| 1821530999 | Marshall Family Pharmacy LLC | Pharmacy | 25022 W Warren St, Dearborn Heights, MI 48127-2145 | 2016-11-07 |
| 1487108866 | Truhealth Pharmacy LLC | Pharmacy | 25302 W Warren St, Dearborn Heights, MI 48127-2102 | 2016-08-15 |
| 1083003438 | Dearborn Heights Pharmacy | Pharmacy | 25524 Ford Rd, Dearborn Heights, MI 48127-3022 | 2015-01-22 |
| Find all providers in DEARBORN HEIGHTS | ||||
| City | DEARBORN HEIGHTS |
| Zip Code | 48127 |
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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.